Other surgeries for benign prostatic hyperplasia (BPH)

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Other surgeries for benign prostatic hyperplasia (BPH)

There are many surgeries to treat benign prostatic hyperplasia (BPH). But most are new and have not been studied very much. The gold-standard surgery for BPH is transurethral resection of the prostate (TURP). If these new surgeries are studied, they will be compared to TURP.

Surgeries that are not used very often include:

• Temporary stents. Stents are small tubes that are placed in the urethra at the place where the prostate is squeezing it closed. These stents expand and push the walls of the urethra open. They are meant for short-term use.
• Transurethral electrovaporization of the prostate, in which an electric current is used to destroy a portion of the prostate.
• Transurethral ethanol ablation of the prostate, in which a chemical (ethanol) is injected into the prostate. The ethanol destroys part of the prostate.
• Water-induced thermotherapy, in which very hot water is used to destroy part of the prostate.
• High-frequency focused ultrasound, in which high frequency sound waves (ultrasound) are used to kill prostate cells.
• Interstitial laser coagulation, in which a laser is used to destroy part of the prostate.
• Rotoresection of the prostate, in which part of the prostate is removed in the same way as during transurethral resection of the prostate (TURP). But a new tool is used in rotoresection.

Credits

Last updated:	March 24, 2008
Author:	Monica Rhodes
Reviewed By:	E. Gregory Thompson, MD - Internal Medicine, Christopher G. Wood, MD, FACS - Urology/Oncology
Editors:	Kathleen M. Ariss, MS, Pat Truman, MATC