Prostatic enucleation at Andrología Barcelona: an effective solution for large prostates

When the prostate grows significantly, urinary symptoms can intensify and greatly affect quality of life. The urinary stream may become very weak, urinary retention may appear, or even complications such as repeated infections.

In these cases, a surgical treatment may be necessary to remove the obstructive prostate tissue extensively and effectively.

At Andrología Barcelona – Teknon Medical Center, Dr. Maurizio D’Anna performs prostatic enucleation, an advanced technique especially indicated for large prostates.

The goal is clear: to remove the obstruction completely and durably in order to restore adequate urinary flow.

What is prostatic enucleation?

Prostatic enucleation is a surgical technique that allows the prostate tissue compressing the urethra to be separated and extracted, while respecting the external capsule of the gland.

Unlike other more limited techniques, enucleation makes it possible to treat larger prostates with effective results.

It is especially indicated when:

• The prostate has a large volume
• Symptoms are severe
• There is a risk of urinary retention
• Drug treatment is no longer sufficient
• It is a technique aimed at offering a broad and long-lasting solution.

Symptoms that may indicate the need for surgery

Benign prostatic hyperplasia can progress over time. When the enlargement is significant, the following may appear:

• Very weak urinary stream
• Frequent interruptions when urinating
• Constant feeling of incomplete emptying
• Repeated urinary infections
• Urinary retention
• Urgent and frequent need to urinate
• When these symptoms are present, a specialized evaluation is carried out at Andrología Barcelona to determine whether enucleation is the most suitable option.

How is the diagnosis made at Teknon Barcelona?

The evaluation begins with a detailed consultation in which symptoms, medical history, and previous treatments are reviewed.

It is complemented by tests such as PSA analysis when indicated, prostate ultrasound to measure the volume of the gland, and urinary flow studies. These tests make it possible to determine the degree of obstruction and confirm the surgical indication.

The approach at Andrología Barcelona is always individualized: the decision is based on prostate size, symptom intensity, and the patient’s general condition.

What is prostatic enucleation surgery like?

The procedure is performed in the operating room under anesthesia.

Through the urethra, the instruments are inserted to carefully separate and extract the enlarged prostate tissue, completely freeing the urinary channel.

No external incisions are made.

At the end, a temporary bladder catheter is placed to facilitate the initial recovery.

• Minimally invasive
• Without external cuts
• Indicated for large prostates
• With significant improvement in urinary flow

Why treat the prostate at Andrología Barcelona – Teknon?

Choosing the right center and specialist is essential.

• Specialized evaluation of prostate pathology
• Experience in advanced surgery
• State-of-the-art surgical technology
• Structured postoperative follow-up
• Confidentiality and close care
• The goal is to offer an effective solution with safety and medical support.

Frequently asked questions

• Is it a definitive solution? In many cases it offers long-lasting results, especially in large prostates.
• Is the procedure painful? It is performed under anesthesia and the postoperative period is usually well tolerated.
• How long will I be hospitalized? The hospital stay is usually short, depending on the evolution.
• When will I notice improvement? Improvement in urinary flow is usually evident in the weeks following the procedure.

Request your evaluation at Andrología Barcelona

If you have significant urinary symptoms or have been diagnosed with advanced benign prostatic hyperplasia, a specialized evaluation can help you regain your quality of life.

Request an appointment directly here: https://www.andrologiabarcelona.com/en/request-an-appointment/

Or contact Andrología Barcelona – Teknon Medical Center: 930 329 688 | 622 811 373

A timely evaluation can make an important difference in your well-being.