Benign prostatic hyperplasia (BPH)

As many as half of all men after the age of 50 start to have trouble with urination, including poor urinary flow, urinary frequency, and waking up at night. This is most commonly secondary to enlargement of the prostate gland called benign prostatic hyperplasia (BPH). Our doctors will help to diagnose the problem and offer all options to treat.

• Medications
  Mild to moderate cases of BPH are typically managed with medications and lifestyle modification. There are different classes of medications that are used.
   
• Minimally-invasive procedures
  When medications are not working, some patients are candidates for office-based procedures. The benefits of these are less risk and quicker return to normal activities. Options include transurethral microwave therapy (TUMT), transurethral needle ablation (TUNA), and interstitial laser coagulation (ILC). A short period of catheterization afterward is still required.
   
• Transurethral resection of the prostate (TURP)
  This involves the removal of obstructing prostate tissue from inside the urethra using a scope. It remains the gold-standard operation for symptomatic prostatic enlargement. It does require an overnight hospital stay. Occasionally, it is performed with a laser rather than the traditional electrocautery resection loop. A short period of catheterization after surgery is necessary.