Minimally Invasive Surgery for BPH
Minimally invasive surgery is defined as surgery that requires a minimal amount of cutting thereby resulting in less pain and a quicker recovery. Some of these procedures can even be performed in the office without the need for anesthesia. Our surgeons at Collin County Urology are trained in many such procedures including laparoscopic surgery, laser surgery and even robotic surgery.
Treatment for an enlarged prostate glan:
- Lifestyle change
Many of our patients who have difficulty urinating due to BPH do not need surgery and can be treated with medication. If symptoms become too bothersome or medication and lifestyle changes fail to work, surgery may be necessary. While surgery is the most reliable method for relieving symptoms of an enlarged prostate, it may not relieve all of them. So we will discuss the severity of your symptoms, your expectations for improvement, and the risks related to the surgery to help evaluate if surgery is the right choice for you.
What is BPH?
Benign prostatic hyperplasia (BPH) is an enlarged prostate, which often causes urinary tract problems. When the prostate enlarges, it can squeeze or partly block the urethra and lead to problems urinating. BPH occurs in almost all men as they age, with about half of those over 75 having some symptoms. An enlarged prostate can cause aggravation, but it’s not usually a serious problem – and it is not cancer.
What are the common symptoms of an enlarged prostate?
Known as lower urinary tract symptoms, or LUTS, they can involve problems related to emptying the bladder and with bladder storage, and may include:
- Trouble urinating
- Weak urine stream
- Not feeling empty after urinating
- Urge after recently urinating
- Painful urination
- Waking at night to urinate
- Frequent urination
- Sudden uncontrollable urge
These symptoms are not always related to prostate enlargement and may be caused by other conditions, such as UTIs, prostate cancer and diabetes. That’s why it’s important to see a doctor for a proper diagnosis of your urinary issues.
What is the surgical treatment for an enlarged prostate?
The best surgical option will depend on the size and shape of your prostate, and can vary from traditional surgeries performed in the hospital to minimally invasive solutions, which can be performed at the doctor’s office.
The newest and most advanced minimally invasive procedure for BPH, the Prolieve™ thermodilation system, is now available through Collin County Urology. This sophisticated, in-office procedure takes about 45 minutes, requires no anesthesia and causes minimal to no pain. Over 90% of our patients who undergo this treatment are able to leave the office without a catheter and return to normal activities the following day. And most are able to discontinue any BPH medications within six weeks.
Two new lasers, the GreenLight™ and the HoLAP, have also been shown to be highly effective in the outpatient treatment of BPH symptoms, providing quick recovery with minimal pain. Our surgeons are certified in the use of these lasers, with access to both at our affiliated facilities.
Our surgeons are trained in most BPH treatment procedures including laparoscopic, laser and even robotic surgery.
What is the recovery after enlarged prostate surgery like?
Recovery depends on the type of surgery performed, but in most cases, your doctor will recommend resting as much as possible for a few weeks after surgery. It may take time to recover fully, but most patients are back to normal activities in six to eight weeks.
What are my enlarged prostate treatment options?
Depending on your unique issues, your treatment may include practices you can undertake at home, such as:
- Double voiding: Urinate as much as you can, relax for a few moments, urinate again.
- Cutting caffeine and alcohol: Both can cause you to need to urinate more often.
- Medications to help control urinary problems: Medicines can reduce symptoms, but rarely get rid of them.
For symptoms or other problems more severe, your doctor may recommend surgery to remove part of your prostate.
Is enlarged prostate treatment painful?
Your doctor may prescribe drugs to treat urine flow or to slow prostate growth, or a combination. When medications aren’t effective for symptom relief, surgical procedures to remove excess prostate tissue can be considered, and may cause minimal pain during the recovery process.
Many men don’t even realize they have BPH, and some aren’t bothered if they do have symptoms. But for those with concerns or more serious issues, there are effective treatment options available.