Consider minimally invasive procedures if medication fails to manage your BPH symptoms. These options offer a less invasive alternative to traditional open surgery, resulting in shorter recovery times and fewer complications. Several techniques exist, each with its own advantages and disadvantages. Your doctor will help you determine which procedure is best suited for your specific needs.
Transurethral Procedures
Transurethral procedures are performed through the urethra, minimizing external incisions. Transurethral resection of the prostate (TURP) remains a gold standard, involving the removal of excess prostate tissue using a specialized instrument. A less invasive alternative is the holmium laser enucleation of the prostate (HoLEP), which uses laser energy to remove the prostate tissue. HoLEP often leads to less bleeding and a faster recovery than TURP. Another option, transurethral microwave thermotherapy (TUMT), uses heat to destroy prostate tissue. It’s generally associated with a lower risk of complications but may have a slower onset of symptom improvement.
Other Minimally Invasive Approaches
Several other minimally invasive procedures exist. UroLift is a relatively new technique that involves implanting small, permanent implants to lift and hold the enlarged prostate tissue, relieving urinary blockage. It’s usually performed in an outpatient setting. Water vapor therapy (Rezūm) uses precisely targeted bursts of heated water vapor to destroy excess prostate tissue. Aquablation therapy utilizes a robot-assisted system using water jets for precise tissue removal. Both offer shorter recovery periods compared to traditional surgery. Your doctor can provide details on suitability and potential risks of each method.
