BPH/Enlarged Prostate Treatment

BPH Image

We will work with you to choose the treatment that meets your particular needs. If left unmonitored and untreated, BPH (benign prostatic hyperplasia) can lead to serious health issues including infections, kidney and bladder stones, complete blockage and retention of urine and, in severe cases, kidney damage.

Treatment options for BPH include:

Active surveillance, also called watchful waiting

If your symptoms are not too bad, we may decide together to wait before starting any treatment to see if the problem gets worse. We will check your symptoms on a regular basis. You can start treatment at any time if your symptoms worsen.

If you choose watchful waiting, these simple steps may help lessen your symptoms:

  • Limit drinking in the evening, especially drinks with alcohol or caffeine.
  • Empty your bladder all the way when you pass urine.
  • Use the restroom often. Don't wait for long periods without passing urine.
  • Talk with your doctor or pharmacist about any medications you are taking as some may make BPH symptoms worse; these include:
  • Over-the-counter cold and cough medicines (especially antihistamines)
  • Tranquilizers
  • Antidepressants
  • Blood pressure medicine

Medications

Prescription medications may be an option if you have mild to moderate symptoms. Two main types of drugs are used. One type relaxes muscles near the prostate, and the other type shrinks the prostate gland. Some evidence shows that taking both drugs together may work best to keep BPH symptoms from getting worse.

Surgery

Prostate surgery may be recommended if you have:

  • Incontinence
  • Recurrent blood in the urine
  • Inability to fully empty the bladder (urinary retention)
  • Recurrent urinary tract infections
  • Decreasing kidney function
  • Bladder stones

The choice of a specific surgical procedure is usually based on the severity of your symptoms and the size and shape of your prostate gland.

Minimally invasive BPH Treatment – Cooled ThermoTherapy™ 
This is a non-surgical in-office therapy that provides long-term relief from BPH symptoms and urinary obstruction by delivering targeted heat to reduce excess prostate tissue and an advanced urethral cooling system for your comfort. The treatment typically results in significant symptom improvement. Learn more about Cooled ThermoTherapy.

TURP (transurethral resection of the prostate)
The doctor passes an instrument through the urethra and trims away extra prostate tissue. A spinal block (anesthesia) is used to numb the area. 

TUIP (transurethral incision of the prostate)
This surgery, which is similar to TURP, is used on slightly enlarged prostate glands. The surgeon places one or two small cuts in the prostate. This relieves pressure without trimming away tissue. It has a low risk of side effects. Like TURP, this treatment helps with urine flow by widening the urethra.

TUNA (transurethral needle ablation)
Radio waves are used to burn away excess prostate tissue. TUNA helps with urine flow, relieves symptoms and may have fewer side effects than TURP. Most men need a catheter to drain urine for a period of time after the procedure.

TUMT (transurethral microwave thermotherapy)
Microwaves sent through a catheter are used to destroy excess prostate tissue. This can be an option for men who should not have major surgery because they have other medical problems.

TUVP (transurethral electroevaporation of the prostate)
An electrical current is used to vaporize prostate tissue.

Laser surgery
The doctor passes a laser fiber through the urethra into the prostate and delivers several bursts of laser energy. The laser energy destroys prostate tissue and helps improve urine flow. Like TURP, laser surgery requires anesthesia. 

Simple prostatectomy
An open or robotic simple prostatectomy is usually performed using general or spinal anesthesia. Only the inner part of the prostate gland is removed. The outer portion is left behind. This treatment is most often done on men who have very large prostate glands.