Enlarged Prostate

Enlarged Prostate / Benign Prostatic Hyperplasia (BPH) Treatment

Benign Prostatic Hyperplasia (BPH) is common problem for men; almost all men will have growth of the prostate as they age. Many men will have symptoms related to that growth, and up to 20 percent of men will need treatment.

The prostate is a walnut-sized gland that wraps around the urethra. As the prostate grows the enlarged tissue (BPH) will obstruct the flow of urine by squeezing on the urethra, increasing the resistance to the flow of urine. Symptoms of BPH include: slow or interrupted stream, getting up at night, having to void more frequently or urgently, hesitancy in initiating a stream, incomplete emptying, dribbling urine at the end of a void.

Traditional surgical BPH treatment involves removing the obstructing tissue with either a resection (TURP) or an open incision (Suprapubic Prostatectomy). But we also offer additional procedures that can be done in the office some of which are detailed below. Your urologist will help you decide which option is best for you.

Rezum Procedure

CLICK HERE to watch a short video about the Rezum procedure

Minnesota Urology offers a procedure to treat BPH called Rezum. Developed to treat men who suffer from BPH, Rezum is a safe and effective office-based treatment that uses thermal energy in water vapor to remove obstructive tissue surrounding the prostate. Patients appreciate that the procedure can be done in a very short timeframe and that they can drive themselves home afterwards.

"The Rezum procedure has many benefits," says Dr. Randy Beahrs, formerly of Minnesota Urology who was an expert in the procedure. "It alleviates the obstruction of the urethra while preserving normal sexual function, causes minimal discomfort, has rapid symptom relief and very few side effects. This new procedure removes more prostate tissue than current minimally-invasive treatments and patients experience less downtime. We see it as very positive step in the treatment of BPH."

"The Rezum procedure itself is a very time-efficient procedure and my patients have reported experiencing very minimal discomfort," says Dr. Beahrs. "Patients experience rapid symptom relief without jeopardizing erectile function or urinary continence.”

To see if you are a good candidate for the Rezum procedure, contact your urologist at Minnesota Urology.

The PVP Greenlight Laser

This laser enhances our ability to treat BPH by opening the urethral channel with much less bleeding. The laser removes the tissue by vaporization. Additionally, the laser coagulates the blood vessels during the procedure because the laser light is absorbed by red blood cells; the procedure is almost bloodless.

The absorbed light coagulates and destroys tissue at the surface of the tissue. The effect is different than traditional thermal energy (cautery), which damages tissue well below the surface of the contacted tissue. The result is less irritation and burning during urination after the procedure.

The PVP laser decreases the hospitalization and catheterization times as well. Because there is less bleeding, the catheter can be removed the day after surgery. Some physicians are doing this procedure as outpatient, and other physicians are electing to do the procedure while patients are on Coumadin or Warfarin.

Patient selection is important, and your surgeon will help you decide if this procedure will work for you. Men with smaller prostates will have the best chance of reaping all of the potential benefits from this procedure. Larger prostates can be done as well, but most often will require longer anesthetic times and a potentially increased risk of complications during the procedure.

If there is unexpected bleeding during the procedure it is possible that the procedure will need to be stopped and a more standard TURP may need to be performed. These older procedures are very safe, but may require you to stay in the hospital an extra day or two.

Complications can occur: infection, bleeding, burning with urination, transient inability to empty the bladder, need for catheter for a few days, and, very rarely, injury to the bladder or penis.

Cooled ThermoTherapy™ Procedure

Cooled ThermoTherapy (CTT) is a form of Transurethral Microwave Thermotherapy used to treat BPH or Enlarged Prostate. CTT uses targeted microwave heat to reduce excess prostatic tissue. By utilizing a proprietary cooling system, surrounding healthy urethral tissue is protected and patient comfort is enhanced. The result is safe, effective and long-lasting relief from many of the symptoms of BPH. Cooled ThermoTherapy is performed in our office and does not require any form of surgery. The procedure takes about a half hour to perform, but you should budget for one hour of office time with our urologist.

Prostiva RF Therapy

Prostiva RF Therapy, also known as Transurethral Needle Ablation or TUNA is a minimally invasive in-office treatment for the management of mild to moderate prostatic enlargement due to Benign Prostatic Hyperplasia (BPH) or Enlarged Prostate. This therapy uses concentrated radio frequency waves to generate heat within the prostate while sparing surrounding tissue including the urethra. Because of the precision of the technology, the procedure can be performed right here in our office in under an hour.

Your BPH treatment surgeon at Minnesota Urology will help you decide what procedure is right for you. Although we believe the procedure is a good option for most men, other effective treatments exist and may be better in your particular case.

Urolift Implant Procedure

The UroLift® System treatment is a revolutionary, minimally invasive approach to treating an enlarged prostate, or BPH, that lifts or holds the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue.

Clinical data has shown that the UroLift System treatment is safe and effective in relieving lower urinary tract symptoms due to BPH without compromising sexual function. The goal of the UroLift System treatment is to relieve symptoms so you can get back to your life and resume your daily activities.