Minimally invasive treatments are less likely to cause blood loss during surgery and require a shorter, if any, hospital stay. These treatments also typically require less pain medication. Depending on the procedure — and how well it works for you — you may need follow-up treatments. Below are minimally-invasive procedures offered at Northwest Arkansas Urology Associates for BPH.
Laser surgeries (also called laser therapies) use high-energy lasers to destroy or remove overgrown prostate tissue. Laser surgeries generally relieve symptoms right away and have a lower risk of side effects than does TURP. Some laser surgeries can even be used in men on anticoagulant (blood thinner) medications.
Laser surgery can be done with different types of lasers and in different ways.
- Ablative procedures (including vaporization) remove prostate tissue pressing on the urethra by burning it away, easing urine flow. Ablative procedures may cause irritating urinary symptoms after surgery and may need to be repeated at some point.
- Enucleative procedures are similar to open prostatectomy, but the tissue is removed through the urethra. A laser is used to resect the prostate tissue. A specimen will be available for pathologic evaluation unlike ablative procedures.
Transurethral resection of the prostate (TURP)
TURP has been a common procedure for enlarged prostate for many years, and it is the surgery with which other treatments are compared. With TURP, a surgeon places a special lighted scope (resectoscope) into your urethra and uses small cutting tools to remove all but the outer part of the prostate (prostate resection). TURP generally relieves symptoms quickly, and most men have a stronger urine flow soon after the procedure. Following TURP, there is a risk of bleeding and infection, and you will temporarily require a catheter to drain your bladder after the procedure. You’ll be able to do only light activity until you’re healed.