Enlarged Prostate: Other Surgeries - Topic Overview
There are many surgeries to treat
benign prostatic hyperplasia (BPH). But most have not been studied very much. The gold-standard surgery for BPH is
transurethral resection of the prostate (TURP). When these new surgeries are
studied, they are compared to TURP.
The Benign Prostate Hyperplasia (BPH) Symptom Score Index can help your doctor understand how severe enlarged prostate symptoms are.
If your total score is less than seven, your symptoms are considered mild. Higher scores indicate more severe symptoms. Your doctor can discuss your scores with you -- and what they indicate about your need for treatment.
Use the following point scale to answer each of the questions. Total the score from all the questions.
0 = Not at all
3 = About...
Transurethral holmium laser ablation (HoLAP), in which a laser is used to destroy a portion of the prostate.
Transurethral holmium laser enucleation (HoLEP), in which a laser is used to completely remove the prostate.
Holmium laser resection of the prostate (HoLRP), in which a laser is used to remove a portion of the prostate.
Photoselective vaporization of the prostate (PVP), in which a laser is used to destroy a portion of the
prostate. This surgery is similar to HoLAP.
focused ultrasound, in which high frequency sound waves (ultrasound) are used
to kill prostate cells.
Interstitial laser coagulation, in which a
laser is used to destroy part of the prostate.
Rotoresection of the
prostate, in which part of the prostate is removed in the same way as during
transurethral resection of the prostate (TURP). But a new tool is used in
Temporary stents. Stents are small tubes that are
placed in the
urethra at the place where the prostate is squeezing
it closed. These stents expand and push the walls of the urethra open. They are
meant for short-term use.
Transurethral ethanol ablation of the prostate, in which
a chemical (ethanol) is injected into the prostate. The ethanol destroys part
of the prostate.
Water-induced thermotherapy, in which very hot
water is used to destroy part of the prostate.
Laparoscopic and robotic prostatectomy (still being studied).