2)  Radiofrequency ablation, or TUNA.  This has had limited success in the past, but new generators make this more promising.

These can be done with a local anesthetic with little discomfort with generally 70 percent effectiveness.

3)  In-Office Biolitec diode laser prostatectomy:
This is an exciting option that we are now using that effectively removes the obstructing prostate tissue utilizing this exciting laser in the office.  We have seen dramatic results that are equally effective to the green light laser, but can safely be done in the hospital with local anesthesia with minimal to no discomfort.  Dr. Hendricks does feel there is even less bleeding utilizing this laser than there is with the green light laser.
Please go to http://www.drjhendricks.com/OfficeBPH.htm to hear more about this exciting new option!

Hospital-based procedures:

  1. Green light laser prostatectomy, or photoselective vaporization of the prostate (PVP).  The new gold standard described on a separate page.  Patients go home the same day of the procedure.
  2. Holmium laser enucleation of the prostate.  This works well, but results ? as good as PVP.
  3. TURP - transurethral resection of the prostate.  The old gold standard that involves cutting out the prostate through the urethra with excellent long term results.  Usually requires a 2 day or more hospital stay due to more bleeding than 1 or 2 above.  This is usually recommended for larger glands.

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