Frequenly Asked Questions

Prostate Enlargement

  • Can BPH be treated?
    There are several ways to treat BPH. One way involves taking medicine. There are several prescription medications for the treatment of BPH. Some medicines cause side effects such as impotence. Some medicines are effective at first but become less effective as time goes on. If you are interested in more information regarding oral therapy for the treatment of BPH, speak to your doctor.

    BPH can also be treated surgically or with minimally invasive techniques (See below "Can surgery for BPH be avoided?"). There are three main types of surgery: transurethral resection of the prostate (TURP), transurethral incision of the prostate (TUIP), and open prostatectomy. During TURP, the doctor slides a special instrument through the penis into the urethra in order to remove an inside part of the prostate. This helps loosen the prostate’s grip on the urethra. During TUIP, an instrument is passed through the urethra to make one or two small cuts in the prostate. Unlike with TURP, no tissue is removed during TUIP. The small cuts reduce prostate pressure on the urethra. During an open prostatectomy, a cut is made through the skin into the lower abdomen to remove an inside part of the prostate.
  • What do I do if I have pain or bleeding after my procedure?
    A certain amount of discomfort and bleeding is expected after the procedure, but if you are concerned, you should call your physician who will be able to discuss you individual symptoms.
  • Do I need anesthesia for a laser prostatectomy (Greenlight, Revolix, Homium)?
    Yes, you will receive general anesthesia or in some cases spinal anesthesia.
  • Will I need a foley Catheter after my procedure for BPH?
    Some patients require a foley catheter for several days after their procedure. You should discuss the possibility with your physician.
  • Why does the prostate become enlarged?
    In a young man, a healthy prostate is approximately the size of a walnut. After around the age of 45, however, the prostate begins to grow and continues to do so throughout the remainder of a man’s life.

    As the prostate grows and take up more room in a small amount of space, it begins to squeeze and compress the urethra, the tube through which urine flows. This pressure on the urethra makes a man feel he needs to urinate more frequently, during the day and night. Many men also develop weak or interrupted urine streams, pain when urinating, and the sensation that their bladder is not completely empty.
  • What causes BPH?
    BPH is caused by non-cancerous growth within the center of the prostate gland. What causes this growth to occur is, as yet, not fully understood.
  • Can surgery for BPH be avoided?
    Fortunately, today there are other options for the treatment of BPH. These options are called minimally invasive prostate therapies. None of these procedures require an overnight stay at the hospital and all allow the patient to return to normal activities quickly.

    Transurethral needle Ablation (TUNA) marketed under the name Prostiva, is a thermal therapy that delivers low-level radio frequency energy to the prostate which shrinks the prostate 15% to 20%. TUNA is performed as an outpatient procedure and patients go home the same day but, it requires several days of catheter drainage of the bladder.

    Similar to ¨TUNA¨ (TUMT) another modality uses cooled thermotherapy using a designed microwave catheter which heats the prostate and cools the urethra simultaneously. The catheter is guided by computer. TUMT is performed as an outpatient procedure.
  • Is BPH dangerous?
    An enlarged prostate gland is called benign prostatic hyperplasia (also known as BPH). This condition is extremely common and eventually affects 80% of all men. PBH is not cancer and it does not lead to cancer. BHP affects a man’s quality of life and, if it leads to bladder problems, can also cause serious problems.
  • What is the prostate?
    The prostate is a gland found in men and boys. The main function of the prostate is to produce seminal fluids, the fluids that help transport sperm. The prostate is located just below the bladder.

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