Management of BPH (Benign Prostatic Hypertrophy – enlarged prostate)

Enlarged prostate can cause a number of different urinary symptoms, many of which can be managed with some lifestyle modifications and medication(s), and sometimes require catheter use. If medications are not effective or not desirable, surgery for management of enlarged is possible.

Some surgical options include:

  1. Transurethral Resection of the Prostate (TURP)
  2. laser photovaporization of the prostate (PVP) (sometimes known as GreenLight ® Laser)

Sometimes the prostate is so large that the obstructing portion must be removed using a different surgery – simple prostatectomy – that can be done by open surgery or through minimally invasive surgery.

Prostate Cancer

Prostate Cancer is one of the most common cancers in men and there is a wide range of disease. Diagnosis is usually made by biopsies taken via transrectal ultrasound of the prostate. We also have Uro-Nav ® technology which combines MRI images into the ultrasound view to help target the prostate biopsies.

Treatment for Prostate Cancer

  • Prostate cancer that is clinically localized (no sign that it has spred outside the prostate) may be amenable to removal of the prostate (radical prostatectomy), which can usually be done by minimally invasive (robotic) surgery.
  • Some prostate cancers can be watched and may not require aggressive (or any) treatment [Active Surveillance].
  • Some prostate cancers may also be amenable to treatment by radiation.
  • Some prostate cancers that have advanced may require hormone therapy or chemo-therapy or immuno-therapies to help control the disease.

Treatments may include a multidisciplinary approach, involving doctors from several different specialties (radiation oncology, medical oncology, urology).

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