Surgical treatments and procedures Archive

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.

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.

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.

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.

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.

The four types of anesthesia include local anesthesia, regional anesthesia, monitored anesthesia, and general anesthesia. Before getting anesthesia, one should ask the doctor which type of anesthesia will be administered, what its risks are, and if delirium is a high risk. One should also ask how to prepare for anesthesia in the days leading up to a procedure-whether medications might need to be temporarily halted, when to stop eating or drinking before surgery, and whether to schedule measures to help reduce delirium.

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.

Most men can resume regular sexual activity after a heart attack once they can engage in mild-to-moderate physical activity without experiencing marked fatigue, chest pain, or shortness of breath. For heart-related procedures like angioplasty with stent placement (to open a blocked artery and restore blood flow), coronary artery bypass surgery, or open-heart surgery, men should wait until surgical sites have fully healed before resuming sex. At the same time, men should address any lingering heart disease risk factors, such as high blood pressure and excess weight.

About one in every 20 people over age 65 has a stiff, narrowed aortic valve. A Harvard physician describes his experience with this condition, called aortic stenosis, from the heart murmur detected at age 66 to his open-heart surgery a decade later. After his diagnosis, he received echocardiograms every one to two years to check the valve, and later a stress echocardiogram. Because the echocardiogram revealed an aortic aneurysm, he had open-heart surgery so the surgeon could repair the valve and the aneurysm during the same operation.