BPH Treatment at Mayo Clinic - Jacksonville, FL

At Mayo Clinic, you’ll have specialists trained in the latest minimally invasive laser treatments, including:

HoLEP (holmium laser enucleation of the prostate). The surgeon uses a laser to remove tissue that’s blocking urine flow through the prostate. A separate instrument is then used to cut the prostate tissue into easily removable fragments. HoLEP can be a good option when the prostate is severely enlarged.
PVP (photoselective vaporization of the prostate). A tube with an imaging system (cystoscope) is inserted into the penis, and the surgeon places a laser through the cystoscope to burn away (vaporize) excess prostate tissue that’s blocking urine flow. PVP is generally an option when the prostate is mildly to moderately enlarged.

Many innovative techniques, including PVP and HoLEP, were pioneered at Mayo Clinic. Laser surgery can offer several advantages, including:

Shorter or no hospital stay. Laser surgery can be done on an outpatient basis or with just an overnight hospital stay.
Quicker recovery. Recovery generally is quicker than with open surgery.
Less need for a catheter. A catheter is generally needed for less than 24 hours.
Lower risk of bleeding. Laser surgery can be a good option if you take blood-thinning medication or have a bleeding disorder that doesn't allow blood to clot normally.

Mayo Clinic Minute: Steam treatment for enlarged prostate

It's a common problem for older men, benign prostatic hyperplasia, or BPH. BPH is a fancy way of saying the prostate is getting larger when we don't want it to. Dr. Toby Kohler, a Mayo Clinic urologist, says the enlarged prostate forces the urethra to narrow, causing a variety of urination problems. And as men age, the symptoms occur more frequently.

Treatment for BPH has long been medications and procedures such as lasers or an electric loop, which burn the prostate from the inside out. But now, a relatively new convective water therapy treatment uses steam to make the prostate smaller. For nine seconds, a steam ball is produced, and that kills all that prostate tissue that we don't want or that has grown out of control.

Dr. Kohler says the procedure, performed right in the doctor's office, has a very low risk for complications or sexual side effects. It does not carry heat outside of the prostate, and it does not carry heat to areas we don't want it. He says this next generation of BPH treatment may soon replace the need for costly medications.

For the Mayo Clinic News Network, I'm Jason Howland.

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Mayo Clinic Minute: Steam treatment for enlarged prostate

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