Benign Prostatic Hyperplasia (BPH)
Benign prostatic hyperplasia, BPH, is a non-cancerous enlargement of the prostate, often found to be the cause of symptoms including difficulty urinating, incomplete bladder emptying, and urinary frequency. A Capital Region Urology physician will discuss BPH with the patient and electronically quantify the severity and discomfort of the symptoms by utilizing the American Urologic Association Symptom Index and objective measurement of urinary flow rate and bladder emptying. These data guide the physician and patient in deciding between watchful waiting and other treatment options. The patient with mild urinary symptoms of BPH may decide to monitor his symptoms and follow up periodically for a urologic examination. For more significant urinary symptoms, there will be a full discussion of available therapies including oral medications, minimally invasive procedures, and traditional prostate surgery.
Some treatment options for BPH include the following:
Transurethral resection of the prostate (TURP)
Transurethral resection of the prostate (TURP) is a minimally invasive procedure to remove prostate tissue that is obstructing the urethra. This improves urination and relieves the risk of complications such as recurrent urinary infections, bleeding, urinary retention, bladder stones, and kidney damage that can result from longstanding obstruction. There are two TURP techniques, transurethral resection of the prostate in saline and transurethral vaporization of the prostate in saline, both of which are done with saline (salt) solution. The use of saline eliminates the possibility of "TUR syndrome," which is a potential complication resulting from the absorption of other types of fluid during tissue removal.
Holmium laser enucleation of the prostate (HoLEP)
Holmium laser enucleation of the prostate (HoLEP) is a new procedure allowing treatment of very large prostate glands without an incision or a staged TURP (done in two separate settings). The benefits of HoLEP include minimal blood loss, immediate relief in urinary symptoms, and usually only an overnight hospital stay.
GreenLight laser therapy
GreenLight laser therapy is another advanced minimally invasive technique for the treatment of BPH utilizing laser energy termed GreenLight. The GreenLight laser quickly and precisely vaporizes obstructive prostate tissue with virtually no loss of blood and a low risk of complications. The GreenLight procedure is generally done on an outpatient basis, allowing a patient to be released a few hours after the procedure.
Discomfort in the groin, painful or difficult urination and related symptoms may indicate prostatitis, a name given to a group of disorders with related symptoms. Some types off prostatitis are related to bacterial infections. Capital Region Urology physicians will provide full examinations and discuss various modalities for treatment of this disease.