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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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 treatment


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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