Kasraeian Urology

Urology located in Jacksonville, FL & Jacksonville Beach, FL

Many men do not understand what their prostate does and how it can impact their lives. The prostate is a small gland that is about the size and shape of a walnut that is located below the neck of the bladder. The urethra runs through the center of your prostate, from the bladder through the penis, letting urine flow out of the body.

Your prostate is a male reproductive organ. The main function of your prostate is to produce prostatic fluid. The prostatic fluid is an alkaline fluid secreted by the prostate gland during ejaculation that forms part of the semen.

Your prostate can become larger as you age, and usually begins to grow around the age of 40-50, this is a normal part of aging. Eventually, this growth can lead to Benign Prostatic Hyperplasia, better known as BPH.

UroLift Q & A

What is BPH?

Benign Prostatic Hyperplasia, or BPH, is a condition in which the prostate enlarges as men age. BPH is very common, affecting nearly 40 million Americans and 500 million men worldwide. More than 40% of men in their 50s and more than 70% of men in their 60s have BPH. While BPH is a benign condition and unrelated to prostate cancer, it can greatly affect a man’s quality of life.

What is the UroLift System?

The UroLiftSystem treatment offers rapid, lasting relief from BPH. Tiny implants are used to hold open the obstructed pathway that blocks urine flow. Unlike medications, the UroLift System treatment addresses the blockage directly, offering a mechanical solution to a mechanical problem.

Most men living with BPH symptoms take prescription medications after they’re diagnosed, although these often don’t provide adequate relief and may cause dizziness, fatigue, and sexual dysfunction.

The UroLift System is a treatment option for men looking for relief from BPH symptoms. It does not require ongoing medication, heating, cutting or removal of prostate tissue, and the UroLift System treatment typically takes less than one hour.

What Are My Treatment Options?

Treatment Options For BPH

The enlarged prostate presses on and blocks the urethra, causing bothersome urinary symptoms like an urgent need to urinate, difficulty starting your urine stream, need to push or strain when urinating, dribbling, incomplete emptying, weak urine flow, increased frequency of urination, burning or pain during urination, and frequent nighttime urination.1,2 Luckily, there are treatment options that can help.

Most men living with enlarged prostate (BPH) symptoms take prescription medications after they’re diagnosed, although these often don’t provide adequate relief and may cause dizziness, fatigue, and sexual dysfunction. Medications may not need to be a lifelong burden, however, and men don’t need to wait until surgery is required to address the problem. In fact, they can avoid traditional surgery altogether.

Least Invasive Treatments

Treatment options that are not tissue destructive.

Watchful Waiting: When symptoms are mild or non-bothersome, your doctor may just monitor your condition and ask you to track your symptoms before deciding if any treatment is necessary. As your BPH condition progresses, if left untreated, it can lead to permanent bladder damage.3

Medications: There is no pharmacological cure for BPH but your doctor may prescribe medications to manage your symptoms. These medications include alpha blockers that relax the muscles around the neck of your bladder, making it easier to urinate, and alpha-reductase inhibitors act to shrink the prostate. While medications can be helpful in relieving symptoms for some men, patients must continue taking them to maintain the effects. An issue with prescription medications is that their effectiveness may be inadequate and they may cause dizziness, fatigue, and sexual dysfunction.4 These, along with other side effects, are an unnecessary burden and can make men feel older than their age.

UroLift® System Treatment: The UroLift® System is a proven option for patients looking for an alternative to drugs or major surgery. The straightforward UroLift System treatment is often performed in the doctor’s office using tiny implants to hold open the obstructed pathway that’s blocking urine flow, addressing the blockage, not just continuously treating enlarged prostate (BPH) symptoms. It is the only BPH treatment that does not require ongoing medication, heating, cutting or removal of the prostate tissue. The UroLift System offers a proven treatment with minimal risk of side effects while preserving sexual function5. The goal of the UroLift System treatment is to relieve symptoms so you can get back to your life and resume your daily activities.

Moderately Invasive Treatments

Treatments that involve tissue destruction with heat or steam.

Thermotherapies: Thermotherapies are moderately invasive treatments applying heat energy such as microwave, radiofrequency or steam/water vapor directly to prostate tissue. Less invasive than TURP (see below), these treatments are generally safe, can be performed under local anesthesia and provide moderate symptom relief for some patients. Applying high heat to the prostate can cause tissue swelling and urinary symptoms during the healing period. There is also an incidence of erectile and ejaculatory dysfunction with thermotherapy procedures.4 Patients often need to have a catheter inserted into their bladder during the recovery period.

Laser: Prostate laser surgery uses concentrated light to generate precise and intense heat to remove excess tissue that may be preventing urine flow. Laser therapy lessens the bleeding risks of traditional TURP. However, since prostate tissue is still removed, there can be tissue swelling. Typically, a catheter has to be inserted into the bladder after the procedure. The most prevalent laser procedures are called photoselective vaporization of the prostate (PVP) or holmium laser enucleation (HOLEP). Despite improvement in urinary flow, PVP clinical data demonstrates the potential for a 42% incidence of ejaculatory dysfunction.4

Most Invasive Treatments

Treatments that involve the removal of prostate tissue.

Surgery: During the Transurethral Resection of the Prostate (TURP) procedure, patients undergo general anesthesia, and prostate tissue is removed. After prostate tissue has been removed, patients may have a recovery period that includes short-term problems such as bleeding, infection, erectile dysfunction, and urinary incontinence.4 Patients will require a catheter that is inserted into their bladder for several days after the procedure. Symptom relief may not occur immediately, but for some patients, it provides the most symptom relief of any procedure and lasts a long time. There can be long-term side effects after TURP such as dry orgasm (retrograde ejaculation), erectile dysfunction or incontinence (leaking of urine).4

This procedure is covered by most insurance companies call the nearest Kasraeian Urology Clinic today to schedule your consultation.

Source Information
1. Abrams, et al., Neurourology and Urodynamics 2002
2. Maximilian, et al., BJU Intl 2012
3. Tubaro et al. 2003 Drugs Aging
4. AUA 2003 Guidelines
5. Roehrborn et al. Can J Urol 2017