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What are some minimally invasive therapies for benign prostatic hyperplasia (BPH)?

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With newer technologies, doctors can use minimally invasive procedures with tiny cuts (incisions) or use tube-style instruments that they insert into the urethra. They relieve symptoms of BPH better than medicines. Other benefits include faster recovery and less pain than traditional, open surgery and fewer risks. These procedures do not involve removing or cutting into the prostate. Your doctor will consider the size of your prostate and your overall health to determine if minimally invasive surgery is right for you.

Types of minimally invasive surgery include:

  • Rezūm water vapor therapy. A device is inserted into the urethra, your urine tube and a small needle delivers water vapor or steam to treat the excess prostate tissue. It is usually performed in your doctor’s office.
  • Transurethral microwave therapy (TUMT). This noninvasive procedure uses a microwave antenna attached to a flexible tube that your doctor inserts into your bladder. The microwave heat kills off excess prostate tissue.
  • UroLift system. The UroLift it is a permanently placed device used to lift and hold the enlarged prostate tissue out of the way, so it no longer blocks the urethra. The procedure does not effect sexual function. It is typically performed using local or general anesthesia in a physician's office, ambulatory surgery center or operating room. Patients typically return home the same day without a catheter.
  • Transurethral needle ablation (TUNA). This procedure is no longer recommended for the treatment of BPH. It is an office-based procedure where your doctor inserts a heated needle into the prostate through the urethra, the tube that carries urine and semen through the penis. The heated needle uses radiofrequency waves to heat up and destroy excess cells in the prostate gland.

SOURCES:

National Kidney and Urologic Diseases Information Clearinghouse.

American Urological Association. "Management of Benign Prostatic Hyperplasia (BPH)" 2018

Agency for Healthcare Policy Research.

William Jaffe, MD, professor of urology at Temple University School of Medicine, Philadelphia.

Urology Care Foundation, “What Are The Symptoms of BPH?”

Mayo Clinic, “Minimally invasive surgery.”

Medscape, “Male Uretha Anatomy: Overview,” “General anesthesia.”

National Health Service (U.K.), “Local anaesthesia: Introduction.”

Reviewed by Nazia Q Bandukwala on October 30, 2018

SOURCES:

National Kidney and Urologic Diseases Information Clearinghouse.

American Urological Association. "Management of Benign Prostatic Hyperplasia (BPH)" 2018

Agency for Healthcare Policy Research.

William Jaffe, MD, professor of urology at Temple University School of Medicine, Philadelphia.

Urology Care Foundation, “What Are The Symptoms of BPH?”

Mayo Clinic, “Minimally invasive surgery.”

Medscape, “Male Uretha Anatomy: Overview,” “General anesthesia.”

National Health Service (U.K.), “Local anaesthesia: Introduction.”

Reviewed by Nazia Q Bandukwala on October 30, 2018

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