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Benign Prostatic Hyperplasia (BPH)

Last Updated Thursday, February 07, 2013 12:35:28 PM

What is Benign Prostatic Hyperplasia (BPH)

Image of a couple on bicyclesUrinary problems related to benign prostatic hyperplasia (BPH) are some of the most common problems men face and are a natural part of aging. According to the National Institutes of Health, BPH affects more than 50 percent of men over the age of 60, and as many as 90 percent of men over the age of 70. Eventually, the prostate may get large enough to interfere with urination.

There are many effective treatments for this condition, ranging from medications to minimally invasive outpatient procedures. El Camino Hospital Urology Center offers three different outpatient procedures to treat this problem.

GreenLight XPS Laser

El Camino Hospital Los Gatos is the only hospital in Northern California to acquire the newest and most sophisticated GreenLight XPS Laser, making it available to urologists 24/7.

Urologists at El Camino Hospital Los Gatos also have the powerful, state-of-the-art GreenLight XPS Laser, which vaporizes excess prostate tissue using laser energy. A thin fiber, inserted into the urethra through a cystoscope, delivers laser energy to remove obstructive prostatic tissue. The laser energy precisely vaporizes and destroys the tissue blockage.  The procedure, which can be performed in less than one hour, offers rapid symptom relief and improvement in urine flow. It is safe and minimizes many of the side effects of other procedures. Patients can go home the same day. GreenLight Laser therapy is covered by Medicare and most private insurers. Learn more about the GreenLight XPS Laser Therapy.

Cooled transurethral microwave thermotherapy (TUMT)

A special catheter is inserted in the urethra to destroy excess prostate tissue through microwave heating. The microwaves travel a short distance, which limits the heating to just the prostate. The catheter also has a water circuit that cools and protects the urethra from heating and minimizes treatment discomfort. Over the course of several months, the body gradually reabsorbs the treated prostatic tissue, and the obstruction disappears. This procedure is done under a local anesthetic and not under general anesthesia. Learn more about TUMT.

Gyrus™ for transurethral resection of the prostate (TURP)

This procedure involves inserting a scope, a light source, and an instrument into the urethra, which is irrigated with a saline solution. The surgeon uses an instrument called the Gyrus PlasmaKinetic resectoscope to remove excess prostatic tissue. The Gyrus creates a vapor pocket in the saline solution around the active cutting electrode, allowing for tissue coagulation to begin while surgery is still in progress. Patients undergoing the procedure receive either general or spinal anesthesia, and are treated as hospital "short stays" or outpatients. Learn more about TURP.

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Video: Advances in Treatment of Enlarged Prostate Gland

Image of Dr. Karpam discussing Green Light Laser treatment for BPH click to watch

Dr. Edward Karpman, Co-Medical Director of El Camino Hospital’s Men’s Health Program, discusses the benefits and outcomes associated with the Green Light Laser Technology in this video.

Video: Benign Prostatic Hyperplasia

Video on BPH

This video describes benign prostatic hyperplasia, its symptoms and its treatments.