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Surgical treatments and procedures Archive

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BPH treatment options when drugs are not enough

When medications and lifestyle changes no longer control symptoms of an enlarged prostate, a range of surgical and minimally invasive procedures can restore urine flow. Each option offers different trade-offs in side effects, recovery, and duration of relief.

When do you really need an angioplasty and stenting?

Coronary artery disease, the most common form of heart disease, occurs when cholesterol-laden debris narrows the arteries that supply blood to the heart. It is treated with lifestyle changes and medications. However, sometimes people also need a procedure called angioplasty to open a blocked or narrowed artery to improve blood flow to the heart, along with insertion of a stent to hold it open. Most people need this if they experience a heart attack or unstable angina, when chest discomfort occurs repeatedly and unexpectedly, often at rest.

Surgery may have an edge over injections for carpal tunnel syndrome

A 2025 randomized trial of people with carpal tunnel syndrome found that 57% of those who had surgery as a first-line treatment recovered within 18 months, without additional treatments, compared with 13% of people who received steroid injections instead.

An emerging trend for cataract surgery

Same-day bilateral cataract surgery removes cataracts in both eyes in one surgical session, instead of two surgeries that are a few weeks apart. The approach has many benefits, such as convenience, but it has risks, too. Vision clarity might not be as good as it is when the procedures are done separately. Some doctors fear that vision loss (which is a low risk for any cataract surgery) could possibly occur in both eyes at the same time.

Staying healthy after a heart procedure

After common heart procedures or surgeries, medications to help prevent heart attacks and strokes are essential. These include a combination of drugs to prevent blood clots (which is known as dual antiplatelet therapy and usually taken for just one year); drugs to lower LDL cholesterol down to 70 milligrams per deciliter or lower; and drugs to keep blood pressure and blood sugar in a healthy range.

Is robotic surgery a good idea?

In robotic surgery, a surgeon controls robotic instruments that perform the operation, based on what the surgeon sees on a TV monitor. This type of surgery has many advantages: it involves small incisions, better views inside the body, and better range of motion than human hands. A research letter published in the May 2025 issue of JAMA Neurology described how robots controlled by a distant surgeon could reach in, grab, and remove blood clots stuck in a brain artery, reducing the damage from a stroke.

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