BPH – Enlarged Prostate

One of the most common urological conditions, benign prostatic hyperplasia (BPH), simply means a prostate gland grows in size over time. An enlarged prostate compresses the urethra, and this compression can contribute to urination problems such as a weak stream, difficulty urinating or a sensation of frequent need to urinate.

Various treatments include medical and surgical therapies. Men are typically started on medications and given a chance to see if the medications can improve their symptoms.

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Are you experiencing symptoms of BPH? The expert doctors at Pacific Urology can provide a variety of minimally invasive treatment options to give you your life back.

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Some men notice considerable improvement in symptoms with medication, while others do not. In general, most men tolerate the medications well, although some men prefer a surgical procedure to relieve symptoms. In other instances, surgery is unavoidable.

Advances in surgical treatments

Technological advancements have made the surgical treatment of BPH less invasive, simpler and safer for the patient. Two relatively recent advancements have been the use of lasers to perform a resection (removal of some tissue) of the prostate, and the use of bipolar resectoscopes.

With laser surgery, the surgeon can vaporize obstructing tissue without actually cutting – this allows for removal of obstructive tissue in an almost bloodless operation. Patients can typically go home the day of or day after surgery, and recovery is very fast.

For patients with more enlarged prostate glands, a surgical instrument called the bipolar resectoscope allows urologists to perform minimally invasive resections. This device employs an electrode mounted on a tube, delivering a weak electrical charge to the affected area of the prostate.

The advantage of the resectoscope is that the tube can be inserted through the urinary tract, avoiding major open surgery requiring long-term hospitalization.

Featured minimally invasive treatments

At Pacific Urology we offer a number of minimally invasive BPH treatment options. With quicker and less painful recoveries, men can get back to their normal routines much faster.


The Rezūm treatment is a transurethral needle ablation performed as an outpatient procedure. Using a hand-held device inserted through a man’s urethra, the urologist injects water vapor into the prostate tissue. The steam reduces the extra tissue that causes an enlarged prostate. Rezūm treats symptoms including irregular flow, straining, weak stream and getting up at night to urinate.

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Prostiva Therapy

Prostiva Therapy is a minimally invasive treatment for men with urinary symptoms due to BPH. Prostiva utilizes radiofrequency (RF) technology to destroy excess prostate tissue. Two small probes are inserted through a man’s urethra and deliver the RF energy directly to the tissue. Prostiva reduces incontinence and impotence and has minimal side effects. It is often more effective than medication. Patients see cost savings over time, with less risk than traditional prostate surgery.

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Cooled thermotherapy

Cooled thermotherapy is an outpatient treatment for men with BPH. During this procedure a catheter is inserted through the urethra and into the prostate where it then delivers the microwave energy and circulates water. This form of minimally invasive treatment helps with frequent urination, lack of flow and erectile dysfunction. Cooled thermotherapy is a popular and effective BPH treatment with low risks and few side affects.
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UroLift treatment

UroLift is a new minimally invasive and relatively simple nonsurgical BPH treatment. It utilizes a permanent implant inserted into the enlarged prostate to push aside the tissue obstructing the urethra, which allows for normal urination.This is the only option that does not contain cutting, heating or damaging tissue in order to improve the enlarged prostate. UroLift doesn’t affect sexual function, and recovery is two weeks or less.
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