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Conditions: BPH

Treating BPH

MINIMALLY INVASIVE PROCEDURES

The minimally invasive procedures used to treat BPH tend to be more effective than medical options, but carry greater risks. They include transurethral microwave therapy (TUMT), transurethral needle ablation (TUNA), visual laser ablation of the prostate (VLAP), transurethral vaporization of the prostate (TUVP), and stenting. These procedures may be performed within a doctor’s office or in a hospital with a one-day stay. Either local anesthesia or intravenous sedation is required.

Heat treatments, such as TUMT and TUNA, use high temperatures to cause the prostate tissue to shrivel and become less tense. The result is that the obstructive mass of the prostate is reduced.

Similar to the heat treatments, VLAP uses laser energy to cause prostate tissue to shrivel and slough away, and TUVP uses laser energy to vaporize prostate tissue. Both procedures relieve prostatic urinary obstruction.

Some patients have metal stents inserted into the urethra to keep it open. It is unclear, however, whether stents are appropriate for men whose medical conditions permit other forms of treatment.

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