Patients that undergo this surgery generally cannot return to work for four to six weeks and for the first two weeks they must rely on a catheter to urinate. Patients can be confident that they receive state-of-the-art care from thier own local urologist. Patients with BPH symptoms present a series of conditions, like difficulty urinating, effort to urinate, and increased urinary frequency, especially in the evening. These symptoms signs of BPH are due to the obstruction of the urinary passage and are proportional to the size and extent of enlargement of the prostate.