What Treatments Are Available?
There are a number of treatments available for enlarged prostate. You will need to discuss the advantages and disadvantages of each treatment with a urologist. Depending on your medical history and the severity of your symptoms, you and your physician will decide together which treatment is right for you. The most common treatment options are watchful waiting, medications, surgery (including GreenLight™ Laser surgery and TURP), and Cooled ThermoTherapy™ (transurethral microwave thermotherapy).
If you experience little or no difficulty due to your enlarged prostate, you may choose to wait and see how your symptoms change or worsen before having treatment. You will be asked to come in once a year for a regular exam and to discuss the need for treatment. However, if you feel your condition is worsening or affecting your normal daily activities, do not wait for your next exam – contact your urologist as soon as possible.
Drug Therapy / Medication
Medication is often the first-line treatment against enlarged prostate symptoms. However, drugs must be taken once or twice a day for the rest of your life. Over time, the cost can become a large expense and drugs are not effective for all patients. Side effects may include fatigue, headache, dizziness, impotence and loss of sex drive.1
- Significant cost of lifetime use of current medications – if you stop taking them they stop working.
- Over 50% of patients who start a regimen of medications for BPH discontinue the treatment within three years.2
1 – Flomax®, Tamsulosin hydrochloride, Patient Information About Flomax Capsules, Table 3, Treatment Emergent Adverse Events Occurring in ?2% of Flomax (tamsulosin hydrochloride) capsules or placebo patients in the U.S. short-term placebo-controlled clinical studies, Page 14, July 17, 2006.
2 – Long-Term Risk of Re-Treatment of patients using Alpha-Blockers for Lower Urinary Tract Symptoms. J. De La Rosette, et al. The Journal of Urology, Vol. 167, 1734-1739, April 2002.
GreenLight Laser Therapy is a minimally invasive surgical option for BPH that combines the effectiveness of the traditional surgical procedure known as transurethral resection of the prostate (TURP), but with fewer side effects, shorter catheterization and quicker, less painful recovery times.
GreenLight uses laser energy to remove enlarged prostate tissue, resulting in an open channel for urine flow-through and a quick return to a life that’s free of BPH symptoms.
GreenLight Laser Therapy is typically an outpatient procedure; meaning you can return home hours after the procedure, and can return to normal, non-strenuous activities within days.
GreenLight is a registered trademark of American Medical Systems
South Lake Urology is proud to offer Cooled ThermoTherapy for the treatment of BPH. Cooled ThermoTherapy is designed to solve the problems of an enlarged prostate without the need for drugs, needles, anesthesia or a hospital stay.
Cooled ThermoTherapy is a single, non-surgical procedure that can be performed in the comfort of your urologist’s office or in a hospital outpatient setting. The treatment uses a specially designed catheter that directs heat deep into the prostate to safely destroy the enlarged tissue and reduce the pressure being placed on the urethra.
During treatment, cool water is circulated through a catheter, drawing heat away from the delicate surface of the urethra, protecting it from damage and minimizing the discomfort you may feel.
Cooled ThermoTherapy treatment takes about 30-60 minutes. Because general anesthesia is not required, you can go home shortly after treatment. Some patients may be sent home with a catheter in place to drain urine while any swelling of treated prostate tissue diminishes.
Most men resume their normal routine within days following Cooled ThermoTherapy treatment.
Clinical studies show that Cooled ThermoTherapy produces significant relief without the risks associated with more invasive surgery or the side effects that drug therapy can cause. Cooled ThermoTherapy does not require hospitalization or general anesthesia. Cooled ThermoTherapy has been shown to be less costly than a lifetime of drug therapy.
To watch an educational video on the Cooled ThermoTherapy procedure, please click here.
This procedure may not be right for everyone as symptom relief may not be immediate. It typically takes several weeks before you experience the full benefit of the treatment. Speak with your urologist to see whether Cooled ThermoTherapy is right for you.
Where Do I Get More Information?
Now is a great time to call with any additional questions you may have about enlarged prostate. With so many treatment options available, you’re sure to find one that is right for you. Please contact our office at (352)243-6009 to schedule your appointment.