There are many surgeries to treat
benign prostatic hyperplasia (BPH). But most have not been studied very much. The gold-standard surgery for BPH is
transurethral resection of the prostate (TURP). When these new surgeries are
studied, they are compared to TURP.
Other surgeries for BPH include:
Laser, which is used to destroy a part of the prostate. This includes transurethral holmium laser ablation (HoLAP) and photoselective vaporization of the prostate (PVP).
focused ultrasound, in which high frequency sound waves (ultrasound) are used
to kill prostate cells.
Rotoresection of the
prostate, in which part of the prostate is removed in the same way as during
transurethral resection of the prostate (TURP). But a new tool is used in
Temporary stents. Stents are small tubes that are
placed in the
urethra at the place where the prostate is squeezing
it closed. These stents expand and push the walls of the urethra open. They are
meant for short-term use.
Transurethral ethanol ablation of the prostate, in which
a chemical (ethanol) is injected into the prostate. The ethanol destroys part
of the prostate.
Water-induced thermotherapy, in which very hot
water is used to destroy part of the prostate.
Laparoscopic and robotic prostatectomy.
Minimally invasive surgery. This includes the prostatic urethral lift (such as Urolift) that improves urine flow by keeping the prostate tissue from blocking the urethra.
ByHealthwise Staff Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine Adam Husney, MD - Family Medicine Specialist Medical ReviewerJ. Curtis Nickel, MD, FRCSC - Urology