A variety of treatment options are available depending on your symptoms.
Usually, the most conservative options are tried first, before surgical ones. Several medications are available to help relax the bladder outlet and prostate glad or to shrink the prostate. For most men, relief is only partial. That may be enough to measurably improve your quality of life. If this approach is satisfactory, you will need to be reevaluated from time to time and to rule out prostate cancer. This follow-up evaluation is usually done by your own urologist, although it can be done at the Urology Academic Practice.
If medications don't work, surgery may be considered.
There are two surgical approaches to treating benign prostate hyperplasia. One is to remove prostate tissue so it no longer blocks the urethra. Procedures that fall into this category are:
- Transurethral electro-resection of the prostate (TURP) - This procedure is the traditional way to remove prostate tissue using minimally invasive surgical techniques. This procedure requires a one- to two-day stay in the hospital.
- Transurethral electro-vaporization of the prostate (TUEVAP) - This procedure uses electrical current in a roller ball to heat prostate tissue until it is reduced to vapor. After having the procedure, patients can leave the hospital the same day or the morning after the procedure.
The second surgical approach is to modify the tissue so it no longer blocks the urethra. These types of procedures are:
- Transurethral microwave technology (TUMT) shrinks prostate tissue using heat from a microwave device. Guided by a computer, the tissues are shrunk during a series of 30- to 60-minute sessions. This is an outpatient procedure.
Following any of these procedures, you will need to be regularly monitored to make sure that there is no cancer. This is usually done by your personal urologist, although it can be done at the Urology Academic Practice at Cedars-Sinai.
After prostate surgery, the tissue removed is routinely checked for hidden cancer cells. In about one out of 10 cases, some cancer tissue is found, but often it is limited to a few cells of a nonaggressive type of cancer, and no treatment is needed.