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Transurethral needle ablation can be used to treat benign prostatic hyperplasia (BPH). [4] Some clinical studies have reported that TUNA is safe and effective, improving the urine flow with minimal side effects when compared with other procedures, such as transurethral resection of the prostate (TURP) and open prostatectomy.
Prostate laser surgery is used to relieve moderate to severe urinary symptoms caused by prostate enlargement. The surgeon inserts a scope through the penis tip into the urethra. A laser passed through the scope delivers energy to shrink or remove excess tissue that is preventing urine flow. [7] Different types of prostate laser surgery include:
Transurethral microwave thermotherapy is a non-surgical, minimally invasive therapy that can be performed under a local anesthetic on an outpatient basis. The treatment involves inserting a special microwave urinary catheter into the hyperplastic prostatic urethra.
The evidence from this review with a 12-month follow-up is very uncertain if aquablation leads to similar rates of serious side effects or a similar need for retreatment when compared to transurethral resection of the prostate. Aquablation may lead to fewer ejaculatory problems, but no difference in erectile function.
Another transurethral method utilizes laser energy to remove tissue. With laser prostate surgery a fiber optic cable pushed through the urethra is used to transmit lasers such as holmium-Nd:YAG high-powered "red" or potassium titanyl phosphate (KTP) "green" to vaporize the adenoma.
Transurethral incision of the prostate (TUIP or TIP) is a surgical procedure for treating prostate gland enlargement (benign prostatic hyperplasia). [ 1 ] Benefits
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The RCT from 2016 comparing prostate steam treatment to a sham procedure (a placebo) found three months after the operation with moderate certainty that this procedure may improve the quality of life for men with moderate urinary symptoms. [5] [6] Observational studies showed positive outcomes up to four years of follow-up.