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Surgical Procedures for Benign Prostatic Hyperplasia (BPH)
- Transurethral catheterization—involves a rubber catheter being slipped past the obstruction to allow urine to drain out.
- Suprapubic catheterization—may be done if transurethral catheterization fails. A catheter is inserted through the lower abdomen to drain the bladder. A tube can be installed and left in until the obstruction is cleared.
- Stents and tubes—This involves the insertion of a variety of temporary and permanent stents and tubes devised to hold open the urethra. These are most useful in patients who are too ill or weak to tolerate more extensive procedures. This treatment is used rarely in the US at the present time.
These procedures use some form of heat to destroy prostate tissue:
- Transurethral microwave thermotherapy (TUMT)—uses microwaves emanating from a catheter placed into your bladder to destroy excess prostate tissue
- Transurethral needle ablation (TUNA)—uses low levels of radiofrequency energy to burn away portions of the enlarged prostate
- Holmium laser enucleation of the prostate (HoLep)—prostate tissue is removed using a laser fiber
- Photoselective vaporization of the prostate (PVP)—a high-powered laser is used to vaporize prostate tissue, achieving a similar result to transurethral resection of the prostate (TURP)
- Transurethral resection of the prostate (TURP) —traditional standard treatment of BPH; a scope with a heated wire is inserted through the penis
- Transurethral incision of the prostate (TUIP)—small cuts are made in the bladder neck to widen the urethra; done in younger patients with smaller prostates
- Transurethral laser therapy or interstitial laser coagulation (ILC)—uses highly focused laser energy to remove prostate tissue
|Transurethral resection of the prostate (TURP)|
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Armitage JN, Rahidian A, Cathcart PJ, et al. Thermo-expandable metallic stent for managing benign prostatic hyperplasia: a systematic review. BJU Int. 2006;98:806-810.
Bouza C, Lopez T, Magro A, et al. Systematic review and meta-anlysis of transurethral needle ablation in symptomatic benign prostatic hyperplasia. BMC Urol. 2006;6:12-23.
Fried MM. New laser treatment approaches for benign prostatic hyperplasia. Curr Urol Rep. 2007;8:47-52.
Herrmann TR, Gross AJ, Schultheiss D, et al. Transurethral microwave thermotherpay for the treatment of BPH: still a challenger? World J Urol. 2006;24:389-396.
Medical Management of BPH. American Urological Association Foundation website. Available at: http://www.urologyhealth.org/adult/index.cfm?cat=09&topic=101 . Updated January 2011. Accessed September 14, 2012.
BPH. National Kidney Urologic Diseases Information Clearinghouse website. Available at: http://kidney.niddk.nih.gov/kudiseases/pubs/prostateenlargement/#treatment . Updated March 23, 2012. Accessed September 14, 2012.
BPH. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated August 27, 2012. Accessed September 14, 2012.
- Reviewer: Adrienne Carmack, MD
- Review Date: 09/2013
- Update Date: 09/30/2013