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A Simple Millin’s Prostatectomy is a surgical procedure performed to remove part of the prostate gland. It is usually recommended for men with benign prostatic hyperplasia (BPH) , a non-cancerous enlargement of the prostate that causes urinary problems.
Unlike radical prostatectomy (done for cancer), this procedure removes only the enlarged inner portion of the prostate that is blocking urine flow.
Why is it Done?
Why is it Done?
Frequent or urgent need to urinate
Weak urine stream or difficulty starting urination
Incomplete emptying of the bladder
Very large prostate (typically over 80–100 grams) where less invasive options may not be effective
How is the Surgery Performed?
How is the Surgery Performed?
Anaesthesia: Usually done under general or spinal anaesthesia.
Approach: The surgeon makes a small incision in the lower abdomen, reaches the prostate through the bladder or directly through the capsule (Millin’s technique), and removes the enlarged tissue.
Duration: The procedure typically lasts 1–2 hours.
Catheter: A urinary catheter is placed to allow the bladder to heal and ensure urine drains freely after surgery.
Benefits of the Surgery
Benefits of the Surgery
Significant improvement in urinary flow
Relief from urinary symptoms
Long-lasting results (most patients do not require repeat surgery)
Risks and Possible Complications (as with any surgery)
Risks and Possible Complications (as with any surgery)
Bleeding (may require a transfusion in rare cases)
Infection (bladder or wound)
Temporary difficulty controlling urination (incontinence – usually improves)
Retrograde ejaculation (semen goes into the bladder during orgasm, harmless but may affect fertility)
Rarely, urethral stricture or narrowing of the bladder neck
Recovery and Aftercare
Recovery and Aftercare
Hospital Stay: Usually 3–5 days.
Catheter Removal: Generally within 5–7 days.
Activity: Light activity for the first 2 weeks; avoid heavy lifting or straining for 4–6 weeks.
Hydration: Drink plenty of water to flush the bladder.
Follow-up: Regular review to monitor healing and symptom improvement.
Please contact our office if you experience any of the following after your procedure
Please contact our office if you experience any of the following after your procedure
Fever or chills
Heavy bleeding or passing large clots in urine
Severe pain unrelieved by medication
Inability to pass urine after catheter removal
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