Benign Prostate Hyperplasia (BPH)/Prostate Enlargement
Benign prostate hyperplasia is the benign enlargement of the prostate gland. This is a common condition among older men. As many as 50% of men at 50 years of age will have it and up to 80% at 80 years of age. The main function of the prostate is related to the production of fluids that accompany semen during ejaculation. The prostate lies between the bladder and the penis. As such, when it grows bigger it can lead to obstruction of the flow of urine during urination. Long term obstruction can lead to urinary tract infection.
Symptoms of prostate enlargement include slow urination, starting and stopping of urine flow and frequency of urination.
Prostate enlargement is diagnosed by a rectal examination, a urine test, uroflow test, and PSA (Prostate Specific Antigen) test.
- TRANSURETHRAL RESECTION OF THE PROSTATE
This procedure involves scraping the prostate to create a channel for the flow of urine. It is the mainstay of treatment for BPH and is effective in relieving prostatic obstruction. However, this procedure may be associated with urinary incontinence, bleeding and retrograde ejaculation.
- GREENLIGHT LASER VAPORISATION OF THE PROSTATE
This laser reduces complication rates and shortens hospital stays. Surgical methods have shown to have long lasting improvement to urinary symptoms and flow. Furthermore, the improvements offered by these surgeries are in the range of 80% compared to the 30% of drugs.
UROLIFT SYSTEM TREATMENT
Not all patients are comfortable with long-term medications or surgery. Fortunately today, we have the UROLIFT SYSTEM TREATMENT. This treatment for enlarged prostates is FDA approved, minimally invasive and bridges the space between medications and more invasive surgeries. This procedure lifts the enlarged prostate and holds the tissues in place using small Urolift implants thereby unblocking the urethra. It does not require cutting, heating or any removal of the prostate. It is usually done under local anaesthesia in a clinic setting or day surgery centre. A catheter will not be required after the procedure and patients can typically return home the same day.
REZUM WATER VAPOR THERAPY
Rezum Water Vapor Therapy is a minimally invasive procedure which involves injecting sterile water vapor (steam) into the prostate gland. It is a targeted therapy as the vapor is confined to a defined area. The result is a reduction of excess prostate tissue which helps to resolve symptoms caused by enlarged prostate. The procedure is done under minimal sedation. Patients can expect gradual improvement of symptoms in two weeks. This varies among patients. Patients no longer need to take any BPH medications. Clinical studies show that Rezum Therapy is safe and effective. It is a day procedure which does not require general anesthesia. Patients are able to preserve sexual function. Lastly, patients are able to return to regular activites within a few days. Patients will have to consult with our urologist in order to determine the best BPH treatment option for you. It will be determined by a couple of factors such as your age, symptoms, expectations, current and past medical conditions, and prostate size.