As men age, the prostate enlarges or tightens, resulting in symptoms such as difficulty urinating, frequent urination, bladder stones, recurrent urinary tract infections or blood in the urine.
Urologists at The University of Kansas Health System offer comprehensive diagnosis, treatment and management of enlarged prostate or benign prostatic hyperplasia (BPH) for patients at our Medical Pavilion in Kansas City, Kansas.
Benign prostatic hyperplasia
BPH is commonly diagnosed in men. By age 50, 25% of men will experience symptoms of BPH, with half of all men developing BPH by the age of 70. BPH can significantly impact your quality of life, but urologists at The University of Kansas Health System can help.
BPH treatment options
Tamsulosin, also known as Flomax
Holmium laser ablation (HoLAP) and homium laser enucleation of the prostate (HoLEP) – HoLAP and HoLEP are minimally invasive surgical alternatives to the removal of the prostate for long-term resolution of BPH symptoms.
Urologists at the only academic medical center in the state of Kansas have access to leading-edge technology, including the Lumenis Pulse™ 120H.
- HoLAP – during a HoLAP procedure, your expertly trained surgeon will guide a laser to heat and remove any blockages. This will improve or completely resolve your urination symptoms.
- HoLEP – for a HoLEP procedure, a secondary tool is used in conjunction with the laser to cut the excess tissue for removal. Cutting and removing the excess tissue also allows pathologists to examine the sample for prostate cancer.
Hundreds of men have improved their BPH symptoms and significantly improved their quality of life with holmium laser surgery at The University of Kansas Health System.
Benefits of holmium laser surgery
- Immediate relief of symptoms
- Significant reports of improved quality of life
- Limited risk to erection status
- Same-day, minimally invasive surgery
- More than half of all patients are eligible for same-day surgery
- Offered as an initial treatment option – patients are not required to initially treat with medication
- Surgical option for patients who need to maintain use of blood thinners
Rezum® is an FDA-approved, minimally invasive procedure available for in-office care. The treatment uses steam to remove prostate tissue blocking the flow of urine from the bladder. No anesthesia is required.
BPH Q & A
The prostate is a gland that sits under a man’s bladder. It is shaped like a donut wrapped around the urethra, a tube that carries urine from the bladder through the penis to the outside of the body. The prostate supplies fluid for semen during ejaculation.
As a man ages, the prostate may enlarge and press against the urethra. This condition is called benign prostatic hyperplasia, or BPH. BPH is a chronic progressive condition, which is most often not dangerous as it is NOT a precursor to cancer. However, quality of life may be affected by urinary tract symptoms. If these symptoms become severe and remain untreated, they can cause more serious conditions such as the inability to urinate, urinary tract infections, bladder stones, urinary incontinence, bladder or kidney damage.
- Weak urinary stream
- Frequent urination
- Waking up at night to urinate
- Sensation of incomplete emptying of the bladder
- Difficulty starting urination
- Dribbling at the end of urination
- Urine stream that starts and stops
There is no specific test for prostate enlargement. Your physician will complete a physical exam, which will involve a digital rectal exam. He or she may also send urine for analysis, perform a prostate specific antigen (PSA) test and ultrasound analysis of the bladder. Depending on the results, you may need additional testing.
Treatment options depend on your overall health, severity of symptoms and size of prostate. Options include watchful waiting, drug therapy, thermal therapy and surgical interventions, including Holmium laser surgery or non-laser surgery.