The Maryland Prostate Center
Prostate Enlargement (BPH)
For More Information
Please click here to
read Dr. Naslund's paper on Natural History and Treatment Options for Benign
Prostatic Hyperplasia (BPH).
Do you have Benign Prostatic Hyperplasia?
The University of Maryland Prostate Center is conducting a research study on BPH. One-on-one interviews will be conducted to discuss patient optionions abut various BPH health states. Volunteers will be compenstated for their time. For more information please call 410-328-7742.
The large majority of men (approximately 90%) develop some degree of prostate
enlargement as they age. The process begins microscopically when men are in
their 40's but significant enlargement generally does not occur until men are
over the age of 50. When the prostate enlarges, it can cause partial, and at
times complete, obstruction of the bladder leading to difficulty urinating.
Most men develop urinary symptoms when the bladder outlet obstruction becomes
significant. The most common symptoms are frequent urination, night time urination,
incomplete bladder emptying, a weak urinary stream, difficulty starting the
stream, an intermittent or dribbling stream, difficulty controlling/holding
the urine and, if the obstruction becomes severe, urinary retention or inability
The majority of men with mild urinary symptoms do not require active treatment
and can be evaluated annually with prostate examination and blood testing. However,
in men with more severe or bothersome urinary symptoms, treatment is often necessary.
Treatment options for BPH include:
- Minimally Invasive treatment options such as:
- Transurethral needle ablation (TUNA)—a highly effective
non-surgical treatment, the TUNA device delivers low level radio frequency
energy directly into the prostate. This energy shrinks and destroys the
prostate tissue. It then relieves the constriction on the urethra and improves
the symptoms of BPH.
- Transurethral microwave therapy (TUMT), works on the
same principle as the TUNA procedure but the heat is delivered by a different
mechanism. With TUMT, a microwave antenna that sends out microwave energy
is inserted into the prostatic urethra. Microwave energy is then used to
heat the obstructing prostate tissue. Cooling fluid is circulated around
the microwave antenna to prevent heat from damaging the wall of the urethra.
- Interstitial Laser—a third option to heat the prostate.
With this device, a laser fiber is introduced into the prostate and energy
from the laser is delivered to the tissue to heat it.
- Surgical treatment options including:
- Laser prostatectomy (laser vaporization) Laser prostatectomy
is a surgical procedure used to treat obstruction of the bladder due to
enlargement of the prostate. It is similar to (TURP) -but instead of using
a wire loop to remove the excess prostate tissue, a holmium laser is used
to vaporize the tissue. Laser prostatectomy has the advantage of less bleeding
and a lower risk of impotence than TURP.
- Transurethral resection of the prostate (TURP)—the
most common surgical procedure to treat BPH. Under anesthesia, a resectoscope
is inserted into the urethra and a cutting wire loop on the end removes
the inner part of the prostate which is obstructing the urethra and bladder.
- Transuretheral incision of the prostate (TUIP) is used
in men with symptoms from an elevated bladder neck or a bladder neck stricture.
The above mentioned treatment options are all available at the Maryland Prostate
Center. For an individual patient, one option may be better than the others.
Urologists at the Maryland Prostate Center recommend treatment option(s) which
are most likely to benefit the individual patient while minimizing risks and
This page was last updated on:
August 17, 2007.
If you would like to make an appointment or talk to someone about our services, please call 410-328-0800.