BPH Enlarged Prostate

Enlarged Prostate

Bigger isn’t always better. Don’t let an enlarged prostate make you miserable. Let Urology Partners put BPH symptoms behind you.

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BPH turns a common body function into a problem that interferes with every aspect of a man's life.

 

Is BPH the bane of your day?

Age brings wisdom, but it also brings physical changes that can be a nuisance. For many men, an enlarged prostate turns a common body function into a problem that interferes with almost every aspect of their daily life. An urgent need to go, urinating more frequently, a weak urinary stream, difficulty starting and stopping—these are some of the most common symptoms of benign prostatic hyperplasia (BPH). BPH is technically a pathology term that describes non-cancerous growth of the prostate, but it is commonly associated with the term “enlarged prostate.” Regardless of the terminology, men with urinary symptoms need relief. The caring and experienced specialists at Urology Partners can help.


What causes BPH?

While BPH is commonly thought of as an “old man” problem, about 20 percent of men in their 40s and 60 percent of men in their 60s show evidence of BPH. For men in their 70s and 80s, the stats shoot up to 90 percent. As men age, their prostate grows. In some men, the prostate can grow up to five times its normal size. In others, it doesn’t grow very much at all. Interestingly, not all men who have BPH symptoms have an enlarged prostate, but an enlarged prostate is a predisposing factor.

In a healthy prostate, the urethra (the narrow tube that carries urine from the bladder and out of the body) runs unobstructed through the middle of the prostate—making it easy to eliminate urine. But when the prostate becomes enlarged, it presses on the urethra and urine has a much more difficult time passing through the prostate. The blockage slows or even cuts off urine flow completely—causing annoying symptoms that often interrupt a good night’s sleep, make it difficult to play a round of golf, go on a trip, enjoy dinner and a movie out and other activities. Instead, days and nights revolve around being near a bathroom at all times.


Don’t let an enlarged prostate cramp your lifestyle.

The good news is Urology Partners offers the latest minimally invasive treatments for long-lasting relief from BPH symptoms. We help men get back to doing all the things they love without worry or embarrassment. Talk to one of our BPH specialists to see which treatment option is right for you.

 

Treatment Depends on Several Factors

From prescription medications that treat mild-to-moderate symptoms to minimally invasive
procedures and surgical treatments, Urology Partners offers a variety of treatment options for BPH.

Medications UroLift® Rezῡm Therapy Laser TURP Traditional TURP



Medications


There are a variety of prescription medications designed to treat mild to moderate symptoms of BPH, including:

Alpha blockers relax muscles in the prostate so urinating is easier. If the prostate is not very large, alpha blockers work quickly. Alpha blockers can help up to two-thirds of men, although some men are not responsive to these medications.

5-alpha reductase inhibitors shrink the prostate, but can take anywhere from six months to two years before results take effect. This medication is only helpful for large prostates, and can cause sexual side effects such as decreased ejaculate volume and erectile dysfunction in some men.

Combination drug therapy uses both alpha blockers and 5-alpha reductase inhibitors together to treat symptoms and the cause of BPH simultaneously.

Tadalafil (Cialis) can help alleviate symptoms of BPH and erectile dysfunction when given in a daily dose.

UROLIFT®


UroLift® is a minimally invasive procedure that doesn’t require any cutting, heating or vaporizing of prostate tissue. Routinely performed in an office setting under local anesthesia, an endoscope is used to access the prostate so a permanent implant can be placed. The implant holds enlarged tissue out of the way so it doesn’t block the urethra. Because prostate tissue isn’t damaged, recovery time is much faster, and men don’t experience the sexual side effects that can follow a transurethral resection of the prostate (TURP) such as low-volume ejaculation or no ejaculation. Men routinely begin seeing improvement in the first few weeks after the procedure.

Learn More about UroLift® Procedure

 

Rezῡm Therapy


Rezῡm Water Vapor Therapy uses the natural energy stored in water droplets to relieve the symptoms of BPH. During this minimally invasive outpatient procedure, a small device is inserted into the prostate through the urethra. The device delivers water vapor directly into enlarged prostate tissue. Thermal energy from the water vapor kills enlarged prostate cells. The office procedure takes only a few minutes, and most men see a dramatic improvement in their symptoms within the first few weeks to months after the procedure.

Laser TURP


Laser transurethral resection of the prostate (TURP)—also knows as laser vaporization—removes excess tissue from inside the prostate to create an open channel that allows urine to flow from the bladder to the urethra.

An endoscope equipped with a laser is inserted through the tip of the penis and into the urethra. The laser vaporizes the inside of the prostate and removes any obstruction that prevents urine flow from the bladder to the urethra. The outside of the prostate remains intact. With laser TURP, there is routinely less bleeding and faster recovery than a traditional TURP. Men can usually go home the same day, and typically only have to wear a urinary catheter overnight or a few days.

Although there are several lasers designed for destroying prostate tissue, Urology Partners currently offers the GreenLight laser and Thulium laser. While both offer excellent destruction of prostate tissue, the choice of laser used is at the surgeon’s discretion. It should be noted that laser vaporization does result in decreased ejaculation fluid after the procedure (a side effect that is also associated with a traditional TURP). Men with larger prostates who may not be good candidates for minimally invasive treatment options such as UroLift or Rezῡm, may be better candidates for laser TURP or traditional TURP. 

Traditional TURP


Often called the "roto-rooter" procedure, transurethral resection of the prostate (TURP), uses a mild electric current to remove tissue from inside the prostate and create an open channel that allows urine to flow from the bladder to the urethra. The mild electric current is delivered via an electrode through an endoscope inserted through the tip of the penis and into the urethra. Tissue is actually removed during a traditional TURP, although some newer advancements, including the button procedure, destroy the tissue directly. Patients are typically hospitalized overnight and wear a urinary catheter for several days while recovering.

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