A minimally invasive laser procedure known as HoLEP is becoming a popular alternative to the more established TURP in treating benign prostatic hyperplasia (BPH). According to a new Indian study, HoLEP’s advantages include less bleeding and a shorter hospital stay, but the new procedure has a few drawbacks too.
Full Answer
Is HoLEP a good alternative to TURP for BPH?
Mar 24, 2020 · Laser enlarged prostate surgery uses laser energy to vaporize tissue, unlike TURP, which cuts it. It is less invasive yet produces the same results. Though a long-lasting solution, surgery is the last resort for men who suffer from an enlarged prostate, also known as medically benign prostatic hyperplasia, states WebMD.
What is the difference between TURP and TRUs for BPH?
There are several types of minimally invasive procedures to choose from, including: Prostatic Urethral Lift (PUL) Convective Water Vapor (steam) Ablation (Rezum) Transurethral Microwave Thermotherapy (TUMT) Catheterization; Transurethral Water Vapor Thermal Therapy; What Are the Benefits, Risks, and Side Effects of Minimally Invasive Surgeries?
What is the difference between TURP and laser enlarged prostate surgery?
Apr 01, 2022 · Your doctor will consider the size of your prostate, how healthy you are, and what type of surgery you may want. All of these procedures are done by passing an instrument through the opening in your penis (meatus). You will be given general anesthesia (asleep and pain-free), spinal or epidural anesthesia (awake but pain-free), or local anesthesia and sedation. Choices …
What is BPH and how can it be treated?
Feb 16, 2014 · Which minimally invasive procedure may be used instead of TURP for the treatment of BPH? Wiki User. ∙ 2014-02-16 19 ... Which minimally invasive procedure may be used instead of TURP for the ...
Are there alternatives to TURP surgery?
Prostatic urethral lift (UroLift) A prostatic urethral lift (also known as a UroLift) is recommended as an alternative to having a TURP or HoLEP. A surgeon inserts implants that hold the enlarged prostate away from the urethra so that the urethra is not blocked.
What is the best procedure to treat BPH?
Transurethral resection of the prostate (TURP): This is the most common treatment for BPH. During this procedure, your urologist will insert a rigid instrument called a resectoscope into the urethra. This is why it is called transurethral. Inserting the scope this way means no cutting into the prostate.Dec 8, 2020
What is the difference between UroLift and TURP?
Both Urolift and TURP lead to significant improvement in urinary function. In general, the urinary function is improved to a significantly high degree after the TURP procedure than after Urolift. The urine stream is improved by more than 100% after TURP while it improves only by about 30% after Urolift.
Which is better TURP or TUIP?
Transurethral incision of the prostate (TUIP) is a simpler, more cost-effective and less invasive procedure than TURP. It is recommended for patients in whom preservation of erectile function and antegrade ejaculation are important [4].
Is TURP minimally invasive?
TURP has historically been associated with significant morbidity and this has fuelled the development of minimally invasive surgical treatment options.
What is the least invasive prostate surgery?
Minimally invasive prostate resection is surgery to remove part of the prostate gland, to treat an enlarged prostate. The surgery will improve the flow of urine through the urethra, the tube that carries urine from the bladder outside of your body. It can be done in different ways.Apr 18, 2021
Which is better TURP or laser?
There was no difference between the two procedures in terms of hospital stay or complications. However, men in the TURP group achieved a faster urinary flow rate (they could pass higher volumes of urine more quickly). TURP was also slightly more cost-effective and faster to perform than the laser procedure.Feb 17, 2021
What's better than TURP?
Laser surgery. Laser procedures usually give you symptom relief and better urinary flow similar to TURP. However, some laser therapies produce fewer side effects than others and also reduce the risk of bleeding.Oct 30, 2020
Is TURP the best option?
TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective.Jan 4, 2022
What is Resectoscope used for?
A thin, tube-like instrument used to remove tissue from inside the body. A resectoscope has a light and a lens for viewing. It also has a tool that uses an electric current to cut, remove, or destroy tissue and control bleeding. In men, a resectoscope is inserted through the urethra into the bladder or prostate.
What is a TUNA procedure?
Transurethral needle ablation (TUNA) of the prostate is a procedure used to treat benign prostatic hyperplasia (BPH). It is performed by placing interstitial radiofrequency (RF) needles through the urethra and into the lateral lobes of the prostate, causing heat-induced coagulation necrosis.Apr 4, 2017
What does a TUIP do?
Transurethral incision of the prostate is a minimally invasive procedure used to treat patients with enlarged prostates, which are typically caused by benign prostatic hyperplasia. The goal of a TUIP is to relieve pressure on the urethra to allow urine to flow from the bladder into the urethra and out of the body.
What is the treatment for prostate cancer?
This treatment is also known as Rezum. This treatment uses the stored thermal energy in water vapor (steam) to kill excess prostate tissue. Inside a handheld device, sterile water is heated to just above the boiling point, when it turns into steam.
How does thermal energy work on prostate?
A precise dose of thermal energy from the steam is then injected into the prostate with a small needle. The release of this thermal energy causes rapid cell death. The body’s natural healing response then breaks down and removes the dead tissue, causing the prostate to shrink.
How does a TUMT work?
TUMT uses microwaves to destroy prostate tissue. The urologist threads a catheter through the urethra to the prostate. A device called an antenna sends microwaves through the catheter to heat selected portions of the prostate. The heat destroys excess prostate tissue. A cooling system protects the urinary tract from heat damage during the procedure.
What is Pul in surgery?
Prostatic Urethral Lift (PUL) PUL (also known as UroLift®) uses a needle to place tiny implants in the prostate. These implants lift and hold the enlarged prostate so that it no longer blocks the urethra. PUL may be done with either local or general anesthesia.
Why is it bad to have a catheter in place for a long time?
Infection is the biggest risk of having a catheter in place for a long time. Bacteria can stick to the catheter surface. This makes it hard for the immune system or antibiotics to work. Using a catheter for a few years increases risk for bladder cancer and can destroy the tissue of the penis.
What is a good candidate for catheterization?
Good candidates for catheterization include men who are waiting for medication to work or waiting for surgery. Catheters are also used during treatment for an infection. They may be a good choice for men who have multiple medical problems and a short life expectancy.
Where is minimally invasive surgery done?
The procedure may be done in your doctor's office or at an outpatient center. Choosing the right type of minimally invasive surgery for you may depend on:
Why do they do prostate surgery?
It is done to treat an enlarged prostate. The surgery will improve the flow of urine through the urethra, the tube that carries urine from the bladder outside of your body. It can be done in different ways. There is no incision (cut) in your skin.
What to do before bladder surgery?
You will have many visits with your provider and tests before surgery: Complete physical exam. Visits with your doctor to make sure medical problems, such as diabetes, high blood pressure, and heart or lung problems are being treated well. Testing to confirm you have normal bladder anatomy and function.
How long does it take for a TUMT to drain urine?
You may need a Foley catheter placed in your bladder to help drain urine after surgery for 3 to 5 days. Transurethral electrovaporization (TUVP).
How long does ultrasound help drain urine?
You may need a Foley catheter placed in your bladder to help drain urine after surgery for 3 to 5 days. Transurethral microwave thermotherapy (TUMT). TUMT delivers heat using microwave pulses to destroy prostate tissue.
How long does it take to recover from a prostate surgery?
This makes the urethra wider. This procedure takes 20 to 30 minutes. Many men can go home the same day. Full recovery can take 2 to 3 weeks. You may go home with a catheter in your bladder.
How long does it take to get a prostatectomy?
Well established choices are: Laser prostatectomy. This procedure takes about 1 to 2 hours. The laser destroys prostate tissue that blocks the opening of the urethra.
Can a prostate enlarged make it hard to urinate?
Expand Section. An enlarged prostate can make it hard for you to urinate. You may also get urinary tract infections. Removing all, or part, of the prostate gland can make these symptoms better. Before you have surgery, your doctor may tell you changes you can make in how you eat or drink.
What is the procedure to remove enlarged prostate?
Surgery is often required to remove the enlarged prostate tissue. A minimally invasive procedure called transurethral resection of the prostate (TURP) is the current standard-of-care. TURP allows for the destruction of prostate tissue through a wire loop inserted into the urethra (the penile opening). More recently developed surgical procedures ...
Is Holep longer than Turpb?
While the average surgery time was longer for HoLEP than for TURPb, surgery outcomes were generally more favorable. Improvements in urinary symptoms (in terms of complete emptying of the bladder) were significantly greater in men undergoing treatment with HoLEP. This difference was maintained at one-year follow-up.
Is laser surgery safe for BPH?
Researchers concluded that HoLEP (a type of laser surgery) is a safe and effective treatment for BPH and can be considered as a suitable alternative to other surgical procedures.
What is the procedure for BPH?
Transurethral resection of the prostate (TURP): This is the most common treatment for BPH. During this procedure, your urologist will insert a rigid instrument called a resectoscope into the urethra. This is why it is called transurethral. Inserting the scope this way means no cutting into the prostate.
What is the treatment for benign prostatic hyperplasia?
Several minimally invasive surgeries may be used for benign prostatic hyperplasia. These include: GreenLight™ laser: Photoselective vaporization of the prostate (PVP) is a treatment that vaporizes prostate tissue to create a channel in the urethra for free urination.
What is the walnut sized gland that surrounds the urethra in a male?
The prostate is the walnut-sized gland that surrounds the urethra in a male. The urethra is the tube that carries urine from the bladder to outside the body. One of the non-cancerous conditions that can affect the prostate is called benign prostatic hyperplasia (BPH), which is also known as enlarged prostate.
What is the best treatment for enlarged prostate?
If your symptoms are severe or minimally invasive surgical treatments don’t help with your enlarged prostate, your doctor will likely recommend another kind of surgery. Other prostate procedures include: Transurethral resection of the prostate (TURP): This is the most common treatment for BPH.
What is Rezum prostate?
This is an operating room-based therapy and requires an anesthetic. Water vapor therapy (Rezum™): Water vapor is directly delivered to the prostate tissue. Over a 3-month period the tissue is destroyed and reabsorbed by the body. This is an office-based therapy and is performed under a local nerve block.
How many men have enlarged prostates?
About half of men in their 50s and as many as 90% of men in their 70s and 80s have enlarged prostates. Enlarged prostate surgery is recommended if less invasive treatments have failed, or if you have severe symptoms such as: An inability to urinate. Frequent urinary tract infections.
Can benign prostatic hyperplasia cause erectile dysfunction?
Benign prostatic hyperplasia doesn’t cause erectile problems. Prostate procedures for BPH range from minimally invasive treatments to more extensive surgeries. Your healthcare provider will help you decide which type of prostate surgery is best for you.
What is the gold standard for prostate surgery?
When medical treatment for enlarged prostates fails, men often need surgery — and the current “gold standard” for such surgery is transurethral resection of prostate (TURP).
What is Holep surgery?
With improvement in laser capabilities and surgeon training, doctors are looking at alternatives including holmium laser enucleation of prostate (HoLEP) — a minimally invasive surgery that enables a complete resection of the prostate to treat BPH, regardless of the patient’s prostate volume.
What is a holep?
In News. Click here to receive BPH news via e-mail. A minimally invasive laser procedure known as HoLEP is becoming a popular alternative to the more established TURP in treating benign prostatic hyperplasia (BPH). According to a new Indian study, HoLEP’s advantages include less bleeding and a shorter hospital stay, ...