Enlarged Prostate Treatments

Indication for surgical treatment includes:

Significant bothersome symptoms refractory to medical therapy or for patients that wish not to take medications
Recurrent UTI
Recurrent hematuria
Bladder stone
Acute Urinary Retention
Renal Function deterioration (caused by BPH/BOO)

How to choose the best surgical options?

A variety of efficacious surgical treatments are available today for the treatment of BPH/LUTS and treatment should be optimally selected according to patient preference but also curtain according to:

Accurate prostate size (typically evaluated by transrectal ultrasound, CT scan or MRI)
Prostate anatomy (typically evaluated by cystoscopy)
Patient co-morbidities (age, cardiovascular disease, anticoagulation use, Parkinson Disease etc.)
Patient expectations (quality of life goal, preservation of ejaculatory function, long vs short term goal)

We will discuss all the options available and find the best suitable to your personal needs.

You can use the following app to guide you with this decision: https://cua-bph-decision-aid.web.app/

HOW TO DECIDE

BPH Surgery Overview

• Transurethal Resection of the Prostate (TURP)

• Open Simple Prostatectomy

• Laser Prostatectomy using Greenlight, Holmium or Thulium laser

• Robotic Simple Prostatectomy

• Urolift

• Rezum

• Aquablation

• Prostatic Artery Embolization (Experimental)

Dr Hueber offers all the surgical options available currently supported by scientific data and the American Urological Association (AUA) guidelines.