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Benign prostatic hyperplasia (BPH)

Health and Nutrition > Diseases > P

Benign prostatic hyperplasia (BPH) (Contd)

Reviewed by Mr John Macfarlane, consultant urological surgeon

Are there other more gentle surgical treatments?
Newer treatments for benign prostate hyperplasia already exist and are continually being developed. These techniques are minimally invasive. Some need only local anaesthesia and the risk of complications is smaller.

A couple of general points about these new techniques:

  • it is still not fully known whether the results are as effective as endoscopic surgery. Doctors are continually learning which patients are most suitable for each treatment.
  • the techniques concerned are still being developed and tested.
  • Microwave thermotherapy In this treatment, the prostate tissue is heated to around 45ºC by means of microwaves. This reduces the size of the prostate by causing cells in the centre of the prostate to die. This treatment is carried out through the urethra.

    Electrovaporisation
    In this procedure, part of the prostate tissue is removed by evaporation by means of electrical current. The treatment is performed with an endoscope.

    Laser-resection
    Another endoscopic treatment, in which part of the prostate tissue is removed with laser energy. For this treatment, a passage is created by inserting a tube made of metal or plastic - which remains in place where the prostate gland obstructs the urethra.

    This procedure is used only on rare occasions, for those patients who are unable to be considered for other forms of treatment.

    Is treatment with a catheter a possibility?
    Some patients with urine retention who cannot endure an operation, may have to have a permanent catheter. This can be placed through the urethra or through the lower abdomen into the bladder. But with a permanent catheter, the patient is at greater risk of cystitis (infection of the bladder).

    An alternative, is for the patient to learn to empty the bladder himself with a catheter. This way the catheter is removed after each use and the danger of infection is reduced.



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