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Advanced Treatment

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What is BPH?

 Benign Prostatic Hyperplasia, or BPH, is a condition in which the prostate enlarges as men get older. Over 70% of men in their 60s have BPH symptoms so it is very common. While BPH is a benign condition and unrelated to prostate cancer, it can greatly affect a man's quality of life.

The prostate is a male reproductive gland, about the size of a walnut, that produces fluid for semen. The prostate surrounds the urethra, which is the tube that carries urine from the bladder out of the body. As the prostate enlarges, it presses on and blocks the urethra, causing bothersome urinary symptoms such as:

  • Frequent need to urinate both day and night
  • Weak or slow urinary stream
  • A sense that you cannot completely empty your bladder
  • Difficulty or delay in starting urination
  • Urgent feeling of needing to urinate
  • A urinary stream that stops and starts

If you suffer from the above symptoms, you are not alone. BPH is one of the leading reasons for men to visit a urologist. 

BPH Treatment Options

If you have been diagnosed with an enlarged prostate due to BPH, there are several treatment options available. Consult your physician to determine which treatment is right for you.

 

 

The UroLift® System is a minimally invasive treatment that alleviates BPH symptoms and delivers the things that matter:

• Rapid symptom relief • Risk profile better than reported for TURP1 • Symptom relief better than reported for medications2 • Preservation of sexual function • A quick return to normal activity • Increased quality of life

 

How does the UroLift® System work?

The doctor places small, permanent implants into the prostate to lift and hold the enlarged tissue out of the way, relieving pressure on the urethra and allowing urine to flow. There is no cutting, heating, or removal of prostate tissue required which means a minimally invasive, straightforward procedure and less downtime for patients. 

 

Questions and Answers

How soon will I feel better after having the UroLift® System treatment?

Patients may experience improvement in their lower urinary tract symptoms as early as 2 weeks after the procedure.

  

Will having the UroLift System treatment affect my sexual function?

Sexual function has been preserved among the hundreds of patients treated in our clinical studies. This is a unique benefit of the UroLift System treatment compared with other BPH therapies such as TURP, laser, and even medication.

 

What happens during the recovery period?

There is minimal downtime post-procedure and patients may experience symptom relief in as early as 2 weeks. Typically, no overnight stay and no catheter is required but you may experience urinary discomfort during the recovery period. Your doctor will discuss with you how quickly you can return to your daily activities.

Advanced Technology

At Northwest Arkansas Urology Associates, we’re committed to offering our patients not only the latest and most advanced treatment options, but also the safest. It’s a part of our philosophy to ensure that our patients receive the treatment option that’s best for their specific situation.

 

To learn more about some of the advanced treatment options we offer, click the respective link below.

Laparoscopic Surgery

Laparoscopic surgery is a minimally invasive surgery technique that is performed through tiny incisions using a camera and small instruments to perform surgery that has traditionally been done through larger open incisions. Our physicians perform their procedures laparoscopically whenever possible.

Laparoscopic Surgery Benefits

Laparoscopic surgery offers many benefits to patients. Typically there is less pain because the incisions are smaller. This allows the patient to have a shorter stay in the hospital and often have a shorter time to full recovery. There is a potential for less blood loss, lower risk of hernia, and lower risk of wound infection. Laparoscopic treatment has been proven to offer equal, if not superior, surgical results in properly selected patients.

How is laparoscopic surgery performed?

First, a narrow scope is inserted through a very small incision near the navel. This scope contains a camera and light that allows our physicians to view the area where surgery is needed. Other specially designed instruments are then inserted through additional small abdominal incisions.

After surgery, the instruments are removed, and each incision is closed with a stitch. Most incisions are no wider than a dime.

Benefits Of Laparoscopic Surgery Include:

  • Less pain
  • Quicker recovery
  • Shorter hospital stays
  • Earlier return to your normal activities
  • Lower overall cost
  • Better quality of life
  • Less risk of hernia and infection
  • Less scarring

Interstim

InterStim® Therapy is a proven neuromodulation therapy that targets the communication problem between the brain and the nerves that control the bladder. If those nerves are not communicating correctly, the bladder will not function properly. InterStim Therapy was created by Medtronic, and more than 100,000 people worldwide have received InterStim Therapy.

 

How It Works

It’s widely believed that a possible cause of an overactive bladder is miscommunication between the brain and the sacral nerves. When the brain and nerves do not communicate correctly, the bladder will not function properly.

InterStim Therapy stimulates the sacral nerves with mild electrical pulses that reduce the signals to the nervous system that may be causing bladder control symptoms such as leaks, the sudden urge to go, or going too often.

How effective is InterStim Therapy?

According to Medtronic, in a long-term clinical study, it was found that 59% of patients with urge incontinence who received InterStim Therapy and completed follow-up with their doctors, had at least 50% fewer leaks per day when compared to the number of leaks before therapy.

However, individual results may vary and not every patient that receives InterStim will experience the same results.

Is InterStim Therapy FDA approved?

Yes. InterStim Therapy was approved by the FDA in 1997 for urge incontinence and in 1999 for non-obstructive urinary retention and significant symptoms of urgency-frequency. Most recently, it has been approved for fecal incontinence as well.

Click here to learn more about InterStim at Medtronic’s website.

Laser Vaporization

There have been major recent advancements in alternative treatment options of BPH (Benign Prostatic Hyperplasia). Prostate laser surgery has several potential advantages over traditional TURP and open prostatectomy. The advantages that laser vaporization treatment offers generally include:

 

  • Lower risk of bleeding. It can be a good option for men who take medication to thin their blood or who have a bleeding disorder that doesn't allow their blood to clot normally.
  • No hospital stay. Laser surgery can generally be done without an overnight hospital stay or with only one night in the hospital.
  • Quick recovery. Recovery from laser surgery generally offers a quicker recovery than from TURP or open surgery.
  • Shorter time to foley catheter removal. Enlarged prostate procedures generally require the use of a tube (catheter) to drain urine from your bladder after surgery. With laser surgery, a catheter is generally needed for a shorter period of time.

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