BPH2

Medical options for BPH center on two classes of drugs. The first is aimed at shrinking the prostate gland by hormone manipulation. Finasteride (Proscar) and Dutesteride (Avodart) are daily medications which shrink the prostate and in some men will relieve symptoms of BPH. The second class of drugs are known as alpha blockers (Cardura, Hytrin, Flomax, Uroxatral). These drugs relax the smooth muscle component of the prostate thereby allowing the tissue to become more compliant and allow easier passage of urine.

The main advantage of medicine is the avoidance of surgery and its potential complications. The medications are usually taken once daily. As with any medicine, there can be side effects. Sexual function, fertility, sense of balance and well-being can be affected. Some people do not relish the idea of lifelong medication.

Transurethral resection of the prostate (TURP): TURP has been the "gold standard" for treating BPH. In this operation, the surgeon passes a special instrument up the urethra and is able to remove the obstructing tissue from within the prostate without a need for an incision. An analogy can be drawn between this operation and the coring of an apple. The internal obstructing tissue is removed without removing the outer portion of the gland. Typically, this operation requires a 1-3 night stay in the hospital. Recently, alot of attention has been focused on reducing the risks, complications and hospital stay of this type of surgery. Much in the same way that laparoscopy has improved the care of gallbladder disease, urologists are using newer technologies to improve prostate surgery.

Open Prostatectomy: This operation requires an incision of the lower abdomen and a longer hospital stay.

Laser Therapy: Laser energy can be used to shrink the prostate and remove obstructive prostate tissue. Advantages of laser prostatectomy include less blood loss and shorter hospitalization.

Vaporization Techniques: This technique utilizes high energy electrical current to "vaporize" and remove prostate tissue.

Microwave Thermotherapy (TUMT or DOT): Microwave energy is used to heat up and "cook" the prostate so that it shrinks. The treatment is administered through a special catheter that is passed into the penis, through the prostate. Advantages include in-office treatment and little risk of blood loss. Patients on blood thinners often do not have to stop their medication for this technique

*Prostiva / Transurethral Needle Ablation (TUNA): Minimally invasive technique utilizing low level radiofrequency energy to precisely heat the obstructing prostate tissue, causing the tissue to shrink away and relieve the blockage. This highly effective treatment is available as an in-office treatment alternative to standard surgical techniques.