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?
Apr 01, 2022 · Prostate resection - minimally invasive 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.
What is the difference between TURP and TRUs for BPH?
Feb 16, 2014 · The two benefits of laser surgery over the traditional method is it is minimally invasive, offering a quicker recovery period, and a local anesthesia is used instead of the more involved general ...
What are the treatment options for enlarged prostate (BPH)?
What are the types of prostate surgery for benign prostatic hyperplasia (BPH)? 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. This is surgical treatment performed …
What is transurethral resection of prostate (TURP)?
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?
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
Which is better TURP or Rezum?
Rezum has many advantages over medical treatment or TURP, including lower rates of sexual dysfunction or bleeding. Rezum water vapor thermal therapy is approved for treating LUTS in patients with BPH, particularly in prostates less than 80cc. It has the advantage of preserving sexual function, compared to TURP.
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.
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 is better than TURP?
In conclusion, Greenlight PVP has shown to be at least as effective as TURP and has the advantage of reducing perioperative complications and length of catheter time and hospital stay.Mar 9, 2016
What is the safest procedure for BPH?
Transurethral resection of the prostate (TURP). This is the most common surgery to treat BPH. Your doctor removes portions of the prostate that are affecting your urine flow. There is no cutting and no external scars are seen since a scope is inserted thorough the urethra to remove the excess tissue.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
Can you have TURP after Urolift?
Urolift has no sexual side effects (TURP results in loss of ejaculation), there is no catheter after the procedure (Foley catheter for 1 week after TURP), and urolift much less invasive. Most men choose Urolift. Best of all, should Urolift not work for your prostate, a TURP can always be performed at a later time.Nov 29, 2021
What is TURP treatment for prostate?
A transurethral resection of the prostate (TURP) is surgery to remove parts of the prostate gland through the penis. No incisions are needed. The surgeon reaches the prostate by putting an instrument into the end of the penis and through the urethra. This instrument, called a resectoscope, is about 12 inches long and .
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 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 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.
Does BPH increase the risk of prostate cancer?
Also, talk with a doctor if you are experiencing symptoms of BPH after surgery. There is no evidence that BPH increases the risk of developing prostate cancer. However, the symptoms of BPH and prostate cancer are similar.
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 are the side effects of minimally invasive surgery?
Side effects from minimally invasive surgery may include: Urinary tract infection. Blood in the urine. Burning with urination. Needing to urinate more often. Sudden urges to urinate. Less often: Erectile dysfunction. Semen flowing backward into the bladder instead of out of the penis ( retrograde ejaculation)
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 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 long does it take for a man to see improvement?
Most men see symptom improvement within about 2 weeks. However, reduction of symptoms and improvement in urinary flow may be less than with transurethral resection of the prostate (TURP). Some men may have pain or burning when passing urine, blood in the urine, or a strong urge to urinate.
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 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.
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.
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 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 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, ...