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Benign Prostatic Hyperplasia (BPH)
The Miriam Hospital offers comprehensive treatments for enlarged prostate conditions, and is one of a few hospitals in the nation to offer UroLift treatment for benign prostatic hyperplasia (BPH).
Treatments for BPH at the Minimally Invasive Urology Institute
Medical management: For many patients, the obstructive and irritative symptoms of BPH can be controlled with medication.
UroLift: Performed using cystoscopy, UroLift is an outpatient procedure in which the enlarged prostate is pulled and held back using suture-like implants, allowing the unobstructed passage of urine. It does not involve any cutting, heating or removing of prostate tissue and does not cause sexual dysfunction. The patient resumes normal urinary function and daily routines. More about Urolift.
Transurethral resection of the prostate (TURP): A resectoscope, which is a type of endoscope, is inserted into the urethra where an attached wire loop is used to remove excess prostate tissue that is blocking urine flow. An endoscope is a device with a light attached that is used to look inside body cavities and organs. The resulting image is displayed on monitors in the operating room, giving the surgeon a clearer view of body structures.
GreenLight laser prostatectomy: GreenLight laser prostatectomy is a minimally invasive, outpatient solution for men with an enlarged prostate. During the procedure, the patient is sedated and the physician inserts a cystoscope, or thin tube with a very small camera through the penis and into the urethra. The urethra is the small tube that carries urine from the bladder to the outside of the body. A laser is then passed through the cystoscope. The laser delivers energy that is used to vaporize or remove prostate tissue that is blocking the flow of urine when urinating. GreenLight laser prostatectomy is an outpatient procedure, allowing patients to return home the same day of the procedure.
Robot-assisted simple prostatectomy for BPH: A robot-assisted simple prostatectomy is a minimally invasive procedure for patients with an extreme enlargement of the prostate or for those with significant obstruction or urinary retention concerns. Previously performed as an open surgery with a larger incision, a robot-assisted simple prostatectomy allows the surgeon to more precisely remove the inner part of the prostate. The benefits of performing this surgery with robot assistance include: smaller surgical incisions of one inch or less, less intraoperative blood loss and need for blood transfusion, reduced postoperative pain and discomfort, shorter hospital stay and faster overall recovery. In June 2017, the MIUI successfully performed the first robot-assisted simple prostatectomy for BPH in New England. Watch WJAR-TV 10 health reporter Barbara Morse Silva's story.
Laser enucleation of the prostate: Performed in Rhode Island exclusively by Newport Hospital urologist Samuel Eaton, MD, laser enucleation uses a surgical laser to remove tissue that is blocking urine flow. The procedure combines the advantages of both TURP and simple prostatectomy, using a minimally invasive approach that can treat prostates of nearly all sizes with less bleeding issues, fewer complications, and faster recovery times.