Prostate Surgery Da Nang: HoLEP & Bipolar TURP – Dr. Dang Phuoc Dat

Author & Medical Reviewer: Dr. Dang Phuoc Dat (Bs CKI Đặng Phước Đạt) – Specialist Level I in Urology, Andrology & Reconstructive Surgery | Updated: October 22, 2026

For men over 50, progressive enlargement of the prostate gland frequently compresses the prostatic urethra, leading to disruptive nocturia, weak urinary stream, incomplete bladder emptying, and acute urinary retention. When oral medications no longer provide relief, finding safe, minimally invasive prostate surgery Da Nang—especially for senior expats and patients with cardiovascular conditions—is critical to restoring urinary freedom without abdominal incisions.

Quick Clinical Summary: Quick Clinical Summary: Modern prostate surgery in Da Nang for Benign Prostatic Hyperplasia (BPH) is performed 100% endoscopically through the natural urethral channel with zero skin incisions. At the Department of Surgery, Family Hospital Da Nang, Dr. Dang Phuoc Dat performs two European Association of Urology (EAU) gold-standard procedures: Bipolar TURP in normal saline for prostate volumes of 30–80 mL and Holmium Laser Enucleation of the Prostate (HoLEP) for large glands > 80 mL or patients requiring superior laser hemostasis.

1. When Is Prostate Surgery Medically Indicated for BPH?

Prostate volume alone does not dictate the need for surgery; a 35 gram gland with a prominent median lobe protruding into the bladder neck (Intravesical Prostatic Protrusion – IPP) can cause more severe obstruction than a 70 gram lateral-lobe gland. Following EAU guidelines, Dr. Dang Phuoc Dat indicates surgical intervention for:

1. Absolute Indications (Complications of Bladder Outlet Obstruction – BOO):

• Refractory Acute Urinary Retention (failed trial without catheter despite alpha-blocker therapy).
• Secondary Bladder Calculi or large bladder diverticula caused by chronic urinary stasis.
• Obstructive Renal Insufficiency or Bilateral Hydronephrosis.
• Recurrent Urinary Tract Infections or persistent gross hematuria from friable prostatic neovascularity.

1. Relative Indications: Moderate-to-severe lower urinary tract symptoms (IPSS ≥ 20), depressed peak urinary flow rate (Qmax < 10 mL/s on uroflowmetry), and elevated post-void residual urine (PVR > 100 mL) unresponsive to combination medical therapy.

Clinical Comparison of Endoscopic Prostate Surgery Modalities in Da Nang

Clinical Feature	Holmium Laser Enucleation (HoLEP)	Bipolar Saline Resection (Bipolar TURP)	Legacy Monopolar TURP
Surgical Mechanism	Uses a Holmium laser fiber to anatomically enucleate whole adenoma lobes along the surgical capsule (‘peeling an orange’) and morcellates tissue	Uses a bipolar plasma loop in 0.9% normal saline to resect prostatic tissue chips	Uses monopolar current flowing through the body in hypo-osmolar glycine/sorbitol fluid
Optimal Prostate Volume	Size-independent; gold standard for large glands > 80 – 150 grams	Ideal for moderate-to-large prostates (30 – 80 grams)	Restricted to < 60 grams due to 60-minute resection time limit
Risk of TUR Syndrome (Hyponatremia)	0% (Impossible) because isotonic 0.9% saline irrigation is used	Virtually 0% thanks to isotonic 0.9% normal saline	Significant risk of dilutional hyponatremia if surgery exceeds 60 minutes
Hemostasis & Catheter Duration	Superior laser coagulation; catheter removed in 24 – 48 hours; <1% reoperation rate at 10 years	Excellent hemostasis; catheter removed in 2 – 3 days; discharge in 3 – 4 days	Higher bleeding risk; catheter kept 3 – 5 days

Clinical Comparison of Endoscopic Prostate Surgery Modalities in Da Nang

INTERNATIONAL CLINICAL CARE PATHWAY: PROSTATE SURGERY DA NANG
1. PRECISION DIAGNOSTICS	2. PERSONALIZED THERAPY	3. RECOVERY & AFTERCARE
• 1-on-1 Specialist Evaluation • High-Resolution CT / Doppler Imaging • EAU / AUA Clinical Stratification Focus: Benign Prostatic Hyperplasia (BPH)	• Minimally Invasive Priority • Organ & Neurovascular Preservation • Strict Sterile Hospital OR Standards Modality: Bladder Outlet Obstruction (BOO)	• Rapid Return to Travel & Work • Direct International Insurance Billing • Long-Term Recurrence Prevention Key Entity: Holmium Laser Enucleation of the Prostate (HoLEP)
Dr. Dang Phuoc Dat • Da Nang Urology – Andrology – Aesthetic Center (162 Te Hanh, Hoa Xuan, Da Nang) • Zalo/Phone/WhatsApp: 07777 43 777

2. Comprehensive Preoperative Safety Protocol for Senior Patients

Because patients undergoing prostate surgerytypically range from 60 to over 90 years of age and often manage hypertension, diabetes, or coronary stents, Dr. Dang Phuoc Dat enforces a rigorous preoperative safety pathway at Family Hospital Da Nang:

• Prostate Cancer Exclusion Prior to BPH Surgery: Total and Free PSA screening plus Digital Rectal Examination (DRE). If PSA is elevated in the gray zone (4–10 ng/mL) or abnormal, Multiparametric Prostate MRI (mpMRI PI-RADS) and targeted biopsy are performed before selecting the surgical approach.
• Multidisciplinary Cardiology & Anesthesiology Clearance: Echocardiography, pulmonary assessment, and safe perioperative bridging of antiplatelet/anticoagulant medications.
• 100% Histopathological Examination: All resected or enucleated prostatic tissue is submitted to pathology to confirm benign histology.

3. Postoperative Recovery & Home Care After Endoscopic Prostate Surgery

• Continuous Bladder Irrigation (First 24 Hours): A 3-way catheter gently flushes sterile saline through the bladder overnight to prevent clot formation.
• Four-Week Mucosal Healing Guidelines: Drink 2.0–2.5 liters of water daily, consume a high-fiber diet (or mild stool softeners) to avoid straining during bowel movements, and refrain from cycling, heavy lifting, or sexual intercourse for 4 weeks while the prostatic fossa re-epithelializes.

Clinical Red Flags: When to Seek Immediate Urological Care

URGENT MEDICAL RED FLAGS:

• Around Days 7 to 14 postoperatively, as the internal hemostatic eschar naturally sloughs off inside the prostatic urethra, passing a few episodes of light pink urine is common and clears with hydration. However, bright red blood with clots obstructing urinary flow or fever > 38.5°C requires immediate hospital contact.
• Avoid delaying surgery for years until chronic high-pressure retention causes irreversible detrusor underactivity (bladder muscle failure).

Clinical Perspective from Da Nang: Clinical Perspective from Da Nang: Many elderly men who suffer acute urinary retention choose to live with a permanent indwelling urethral Foley catheter out of fear of anesthesia. Long-term catheterization leads to chronic biofilm UTIs, bladder stones, and urethral strictures—whereas a 45–60 minute endoscopic HoLEP or Bipolar TURP under gentle low-dose spinal anesthesia (with the patient breathing spontaneously) allows even 85-to-90-year-old men to void naturally again.

Frequently Asked Questions (International Patient Guide)

Question 1: Is endoscopic prostate surgery safe for patients over 80–90 years old?

Yes. At Family Hospital Da Nang, our surgical team has successfully performed Holmium laser enucleation (HoLEP) for patients aged 90–95 with 120-gram prostates using selective low-dose spinal anesthesia (avoiding general endotracheal anesthesia) and instant laser hemostasis.

Question 2: Does endoscopic prostate surgery cause permanent urinary incontinence?

Transient urinary urgency or minor stress dribbling can occur during the first 1–2 weeks after catheter removal as the bladder adapts to low outlet resistance. Because Dr. Dang Phuoc Dat preserves the external urethral sphincter distal to the verumontanum, full urinary continence recovers rapidly with pelvic floor exercises.

Question 3: What is retrograde ejaculation after prostate surgery, and is it harmful?

After widening the bladder neck and prostatic fossa, 60%–75% of men experience retrograde ejaculation—meaning semen enters the bladder at climax and is harmlessly flushed out with the next urination. It is completely harmless to health and does not diminish orgasmic pleasure.