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Goldman Urology AI curation background image Goldman Urology AI curation background image
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AI CURATION

Briefly describe your symptoms
to the smart Goldman AI.

Enter your question.
  • e.g. I urinate frequently and always feel residual urine
  • e.g. I feel a burning pain when I urinate
  • e.g. Itchy, stinging blisters on my genitals

Revision Surgery Clinic

If discomfort persists or the results are insufficient after BPH surgery, revision surgery helps improve symptoms and restore voiding function.

Still uncomfortable after BPH surgery?
You may need revision surgery.

If urinary symptoms persist even after BPH surgery
due to causes such as changes in the prostate tissue or a stricture,
revision surgery or additional treatment may be considered.

SINCE 2002, the hub of AI smart healthcare

SINCE 2002, the hub of AI smart healthcare

SINCE 2002, the hub of AI smart healthcare

SINCE 2002, the hub of AI smart healthcare

The 3 cases that call for revision surgery after BPH surgery

If voiding discomfort or pain persists after BPH surgery, prostate tissue changes or a stricture must be checked, and revision surgery may be needed.
  • Men experiencing discomfort
    When the prostate tissue has regrown
  • Hematuria
    When complications have occurred after surgery
  • Men with voiding difficulties
    When the previous treatment was not effective enough

Extra care is needed!
The decisive reasons revision surgery is harder

BPH revision surgery is more difficult than the first operation.

Because tissue that has already been operated on must be handled again, accurate diagnosis of the cause, the choice of surgical method, and revision surgery experience largely determine the outcome.

  • 01

    Accurate
    diagnosis of the cause of recurrence

    Recurrence can have different causes: the prostate tissue has regrown, a complication (bladder neck or urethral stricture) has developed, or the previous treatment was not effective enough.

    Because the cause differs from patient to patient, an accurate diagnosis through detailed tests is essential.

    Accurate diagnosis of the cause of recurrence
  • 02

    The right
    choice of surgical method

    The surgical strategy can change completely depending on the situation: removing remaining prostate tissue, incising a bladder neck stricture or treating a urethral stricture.

    That is why it matters to be treated at a clinic that can perform every technique.

    The right choice of surgical method
  • 03

    Extensive
    revision surgery experience

    Tissue that has already been operated on may have an altered anatomy.

    So the surgeons' experience with a wide range of revision cases is crucial.

    Extensive revision surgery experience

Prostate UroLift implant removal

Recently, many patients have been having revision surgery because of discomfort or insufficient results after a prostatic urethral lift (UroLift). Before deciding on revision surgery, however, it is most important to assess the two points below accurately.
This is because the implants are anchored deep in the prostate tissue and the anatomy has changed since the procedure, so advanced skill and experience are required.

01Whether the symptoms are caused by the implants
Medical team performing surgery
02Whether the previous procedure has changed the anatomy
  • 25yrs+of BPH surgery experience
  • 6,500+surgical cases

Every type of BPH surgery
is available here!

The right surgery for BPH depends on the size, location and shape of the prostate, as well as the patient's symptoms and any complications.That is why surgery should never be chosen based only on what you hear from others.

Based on each patient's condition, Goldman tailors the right surgery to the individual— rather than relying on a single device or technique, we have built a system that can perform every type of BPH surgery.

Motif image

Patient-tailored revision surgery — Goldman's surgical solutions

Revision surgery after implant removal calls for even greater caution.
At Goldman, where surgery can be tailored to the site and pattern of the problem, experienced medical staff perform surgery optimized for each patient.
HoLEP surgical equipment

HoLEP

A holmium laser separates and removes the enlarged prostate tissue in one piece, so recurrence, side effects and complications are markedly low.
iTind device

iTind

iTind is a state-of-the-art, minimally invasive procedure that widens the narrowed urethra with a prostatic stent, removed within 3–5 days.The urethra stays expanded afterward, so urination proceeds normally.
Robotic Waterjet surgery illustration

Robotic Waterjet (Aquablation)

A high-pressure water jet resects the prostate minimally invasively, allowing precise removal without side effects or complications, on prostates of any size.
Symbolic image of BPH revision surgery

It’s Advanced! BPH revision surgery:
the BIG 5 reasons Goldman leads the way

Implant removal is a highly demanding procedure that requires experience and skill.
Goldman provides safe revision surgery through precise diagnosis and extensive surgical experience.

Unrivaled Data from 2 Million Cases

Focusing solely on urological conditions since 2002, we hold over 2 million clinical records.

6,500 BPH surgery cases

Based on 6,500 BPH surgery cases, we have built a safer, personalized treatment system.

40.8% of HoLEP surgeries nationwide — at Goldman

We performed about 40.8% of all HoLEP surgeries at clinic-level facilities nationwide. (2023 HIRA data)

University-hospital-level infrastructure and advanced equipment!

Goldman invests heavily in high-performance equipment, adopting AI robotic waterjet systems ahead of university hospitals.

Our inpatient ward allows short-term admission

Our thorough follow-up care includes overnight on-call physicians and nurses.

Get your BPH revision surgery questions answered now.

Goldman's know-how gives clear answers to patients' questions.
  • BPH revision surgery is often more difficult than the first operation, and the structures around the prostate have often been altered by the previous surgery, so it is important to accurately analyze the cause of recurrence and redesign a surgical strategy suited to the patient's condition. Even for the same revision surgery, treatment results can differ depending on how the cause is diagnosed and which surgical method is chosen.

     

    With these characteristics in mind, Goldman Urology Clinic operates a BPH Revision Surgery Clinic that proceeds step by step, from analyzing the cause of recurrence to designing a customized revision surgery.

     

    First, precise testing identifies the cause of recurrence — regrowth of residual enlarged tissue, bladder neck contracture, urethral stricture, and so on — and we set a treatment direction suited to the patient.This matters because the revision approach differs by cause.We then choose the suitable method — additional resection of the remaining enlarged tissue, correction of bladder neck contracture, treatment of urethral stricture, and so on — applying a customized strategy that accounts for anatomy altered by the previous surgery.

     

    In addition, for symptoms that persist after a prostatic urethral lift (UroLift), we have a treatment system capable of performing even specialized revision procedures such as implant suture removal, allowing us to respond to a wide range of revision cases. This step-by-step treatment system, from precise diagnosis of the cause of recurrence, to selecting the surgical method suited to the patient's condition, to specialized revision surgery, is what defines Goldman's BPH Revision Surgery Clinic.

  • When choosing a hospital for BPH revision surgery, it is important to confirm not simply that they will operate again, but that they can accurately analyze the cause of recurrence and build a treatment plan that accounts for the anatomical changes left by the previous surgery. Revision surgery is often more difficult than the first operation, so outcomes can vary depending on the medical team's experience and surgical strategy.

     

    Therefore, it helps to also review the following criteria.

    - Whether a urology specialist provides care and has experience with BPH revision surgery - Whether precise diagnosis of the cause of recurrence (residual enlarged tissue, bladder neck contracture, urethral stricture, etc.) is possible - Whether they can select a revision strategy suited to the previous surgical method - Whether they have experience handling special revision cases such as UroLift implant removal

     

    In particular, BPH revision surgery often cannot be resolved simply by removing the remaining tissue again, and structural changes such as bladder neck contracture or urethral stricture may occur along with it, so accurate analysis of the cause is important.

     

    At Goldman Urology, for example, precise testing identifies the cause of recurrence, then revision methods suited to the patient — resecting residual enlarged tissue, correcting bladder neck contracture, treating urethral stricture — are applied step by step.And when symptoms persist because of the implants after a UroLift (prostatic urethral lift), our treatment strategy also includes UroLift implant removal.

     

    Choosing a hospital that accurately diagnoses the cause of recurrence and has broad revision-surgery experience leads to more stable outcomes.

  • Implant removal is harder than an ordinary procedure, and minimizing damage to surrounding tissue is vital.
    Still, an experienced, skilled medical team can perform it safely.
    Thorough consultation and accurate diagnosis before surgery minimize risk, so check the medical team's experience and expertise when choosing a hospital.

  • Removal time varies greatly with the patient's condition, where the implants sit, and how firmly they have adhered to surrounding tissue.
    It can be more demanding than ordinary prostate surgery and take longer than expected.
    Confirm the expected duration with the medical team before surgery.

  • Recovery varies considerably from person to person, but if all goes smoothly you can usually return to daily life fairly quickly.
    Hospital stays also depend on the surgical site, but under an experienced medical team's systematic care they tend to be short.
    If you notice any discomfort or unusual symptoms during recovery, consult the medical team right away.

Urological concerns?
Solve them at a Goldman near you.

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