The prostate gland is situated below the bladder, and is attached to it. The urethra runs through the center of the gland. As men age, most will develop prostate enlargement. Symptoms of an enlarged prostate include frequent urination, getting up at night to urinate, weak stream, urgent urination, incomplete bladder emptying, and difficulty controlling urination. When the enlargement is benign (non-cancerous), there are many treatment options available, including:
Treatment options for the treatment of prostate enlargement:
Watchful waiting – is a management strategy in which the patient is monitored by his physician without receiving any active intervention.
Medications -Alpha-blockers (such as Flomax® and Uroxatral®) and 5-alpha reductase inhibitors (such as Proscar® and Avodart®) are most commonly used, either alone or in combination. However, some men can’t afford them, others get little relief, and others develop side effects.
Heat-based treatments -These therapies include prostate microwave thermotherapy, prostate interstitial laser coagulation, and prostate transurethral needle ablation. These treatments are generally done in the office under local anesthesia. However, some men do not want an office procedure; they prefer complete anesthesia. Other men are not ideal candidates for an office, heat-based treatment.
GreenLight PVP™ prostate laser vaporization –Some men have moderate or severe prostate enlargement, and very bothersome symptoms. If medication fails, and they are not good candidates for an office procedure, Greenlight PVP™ photoselective prostate laser vaporization may be the answer.
Trans Urethral Resection of the Prostate (TURP) – a procedure which scrapes prostatic tissue to open up the urinary channel. Short-term complications of TURP include bleeding, clot retention, TUR, urinary tract infection, and inability to void. Long-term complications of TURP include failure to void, retrograde ejaculation, impotence, partial or complete incontinence, and retreatment.