Houston Methodist. Leading Medicine.
Houston Methodist. Leading Medicine

Treating BPH

Treating BPH

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Call 713-790-3333 to make an appointment or ask questions.


If benign prostatic hyperplasia (BPH) is diagnosed, your physician may discuss one or more treatment options with you.

Lifestyle Modifications
If your BPH symptoms are mild, you may find relief through a few simple changes to your lifestyle, including:

  • Urinating when you first get the urge
  • Urinating regularly throughout the day, even when you don’t have the urge
  • Avoiding alcohol and caffeine
  • Spreading out your fluid intake throughout the day and limiting fluids in the evening
  • Avoiding medications that contain decongestants or antihistamines
  • Reducing your stress level

Medication

  • Finasteride and dutasteride can inhibit production of the hormones involved with prostate enlargement, which can prevent further growth of the prostate or in some cases actually shrink the gland.
  • Alpha-1 blockers such as terazosin, doxazosin, tamsulosin and alfuzosin can relax the muscles in the prostate and the bladder neck to allow easier urination.
  • Antibiotics may also be prescribed to treat chronic prostatitis (inflammation of the prostate), which can sometimes accompany BPH.

Surgery
If medications don’t resolve the problem, your doctor may discuss surgical options to remove the obstructing prostate tissue. Until recently, the only surgical option was transurethral resection of the prostate (TURP), in which a resectoscope and loop, similar to a hot wire, was used to scrape out the enlarged tissue. Though effective, TURP often necessitates a 24- to 48-hour hospital stay and a longer period of catheterization. In recent years however, laser surgery has emerged as a more favorable option.

In 2007, Houston Methodist Hospital became the first institution in the Texas Medical Center to offer GreenLight™XPS™ Laser Therapy, the most advanced treatment available for enlarged prostate.

Like other laser therapies, GreenLight XPS transmits energy through a small fiber that’s inserted into the urethra via a cystoscope. Once the fiber is in place, the laser superheats the targeted prostate tissue until it’s vaporized.

What makes GreenLight Therapy unique is that it literally vaporizes the tissue through the urethra, creating a channel for urine to flow more freely. The procedure is minimally invasive, and since the XPS is 50 percent faster than its predecessor, operative time is shorter. After the surgery, many patients can go home without a catheter the same day, and most see an immediate improvement in their urine flow.

 

Learn more about BPH:

To learn more about BPH treatments at Houston Methodist or to make an appointment, please call us at 713-790-3333.