BPH Treatment Options

If you have been diagnosed with an enlarged prostate due to BPH, there are several treatment options available. Consult your physician to determine which treatment is right for you.

 

Treatment Options

BPH Treatment

 

Watchful Waiting

When symptoms are mild, your doctor may just monitor your condition and ask you to track your symptoms before deciding if any treatment is necessary.

Medications

Your doctor may prescribe medications to manage your symptoms. These medications include alpha blockers which relax the muscles around the neck of your bladder, making it easier to urinate, and alpha reductase inhibitors which act to shrink the prostate. While medications can be helpful in relieving symptoms for some men, patients must continue taking them long-term to maintain the effects.

Some patients may suffer side-effects including dizziness, headaches, or sexual dysfunction. Some may not get adequate relief of their symptoms. Over 16% of men on medication for BPH discontinue treatment early for reasons such as being dissatisfied with side-effects or not getting adequate symptom relief.1

UroLift® System Treatment

The UroLift® System treatment is a minimally invasive approach to treating BPH that lifts or holds the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue. Clinical data has shown that the UroLift System treatment is safe and effective in relieving lower urinary tract symptoms due to BPH without any impact to sexual function. 

Learn more about how the UroLift System treatment works or visit our FAQ page for more information on the benefits, risks, and recovery.

Thermotherapies

Thermotherapies are minimally invasive treatments where heat energy such as microwave or radiofrequency is applied to destroy prostate tissue. Less invasive than TURP, these treatments are generally safe, can be performed under local anesthesia and provide moderate symptom relief for some patients.

Applying high heat to the prostate can cause tissue swelling and uncomfortable urinary symptoms during the healing period. Symptom relief does not occur immediately, and patients often need to have a catheter that is attached to a urine bag inserted into their bladder during the recovery period.

Laser

Laser Resection of the Prostate

TURP may be performed with a laser in procedures called photoselective vaporization of the prostate (PVP) or holmium laser enucleation (HOLEP). Laser therapy lessens the bleeding risks of traditional TURP. However, since prostate tissue is still removed, there can be tissue swelling and an uncomfortable healing time. Typically, a catheter has to be inserted into the bladder after the procedure.

Surgery

Transurethral Resection of the Prostate (TURP)

TURP is the most common surgery to treat BPH. During this procedure, patients undergo general anesthesia, and prostate tissue is removed. TURP is often considered the "gold standard" for long-term results.

After prostate tissue has been removed, the body needs time to heal. The remaining prostate tissue may actually swell and become inflamed before the desired shrinking effect occurs. Patients may suffer an uncomfortable recovery period that includes short-term problems
such as bleeding, infection, erectile dysfunction, and urinary incontinence. Patients have to
have a catheter that is attached to a urine bag inserted into their bladder for several days after the procedure.

Symptom relief may not occur immediately, but lasts for a long time in many patients once it does occur.

There can be long-term side effects after TURP such as dry orgasm (retrograde ejaculation), erectile dysfunction or incontinence (leaking of urine).


  1. NeoTract US market model estimates for 2016 based on IMS Health and Drug Procedure Data

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BPH Q & A

What is benign prostatic hyperplasia (BPH)?

Benign prostatic hyperplasia (BPH) describes the enlargement of your prostate gland. Your prostate gland surrounds your urethra, which is a tube that carries urine out of your body. BPH isn’t prostate cancer, nor does it increase your risk of cancer. While many men experience prostate growth as they age, an enlarged prostate gland can cause health problems if left untreated.

What symptoms are caused by BPH?

A number of BPH symptoms can occur after age 50. Examples include:

  • Frequent urination
  • Blood in urine
  • Urinary tract infections
  • Urine streams that are weak, slow, and abnormal
  • Inability to urinate
  • An urge to urinate right after using the restroom
  • Trouble beginning a urine stream
  • Dribbling after urinating

Severe BPH complications can include urinary tract infections and kidney or liver damage. Detecting the condition early means you’re less likely to experience severe complications.

How is BPH diagnosed?

To diagnose BPH, Dr. Pregenzer reviews your medical history and symptoms. He may complete a digital rectal exam to feel your prostate gland or use a cystoscope, which is a thin, lighted tube. Dr. Pregenzer may also order additional blood or imaging tests to make a diagnosis.

What treatments are available for BPH?

Treatment for BPH varies based on the severity of your condition. Dr. Pregenzer typically starts by recommending conservative forms of treatment, such as:

  • Watchful waiting
  • Urinating as soon as you feel the urge
  • Urinating regularly, regardless of the urge
  • Avoiding antihistamines, alcohol, and caffeine
  • Stress management
  • Exercising regularly
  • Kegel exercises

If conservative measures don’t improve your symptoms, Dr. Pregenzer may recommend medications like antibiotics, hormone reduction medications, or alpha-1 blockers that can reduce the size of your prostate and improve urine flow. Should conservative measures and medications fail to offer effective relief, Dr. Pregenzer may recommend more assertive forms of intervention, which might include:

  • High-intensity focused ultrasonography
  • Water-induced thermotherapy
  • Transurethral microwave therapy
  • Transurethral needle ablation
  • Simple prostatectomy
  • Transurethral incision of the prostate
  • Transurethral resection of the prostate

Don’t let benign prostatic hyperplasia go untreated when effective solutions for BPH are within reach at Gerard Pregenzer Urology. Call the office nearest you, or book online today.

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