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BPH Treatments in Las Vegas

Initial treatment for Benign Prostatic Hyperplasia (BPH) is medical therapy.  A number of medications are available to help improve urinary stream and bladder emptying.  Some medication can also help shrink the prostate over time or at the minimum halt its growth.  For those who suffer from an overactive bladder, medication can relax bladder muscle and stop frequent urination.BPH Treatments

If medical therapy has failed, minimally invasive treatments are available to treat BPH in an office setting.  Microwave therapy is a procedure done in the doctor's office to heat and shrink the prostate.  Dr Lesani does not use microwave therapy as its benefits are often short-lived.  Transurethral Needle Ablation of the prostate (TUNA) is also an office procedure done under local anesthesia.  TUNA uses radiofrequency ablation energy to open the urinary channel and improve urinary flow.  After this procedure, patients can often stop their prostate medication.

If the patient can not tolerate an office procedure or needs more extensive treatment, laser vaporization of the prostate is performed in the operating room.  While under anesthesia, a laser fiber is used throught the urinary channel to vaporize obstructing tissue.  Various laser options are available including Holmium, KTP (Greenligth), and Evolve (Biolitec).  Dr Lesani is trained to use all laser options however has a preference for the Greenlight laser.  He has been performing laser vaporization of the prostate for over 10 years.   The Greenlight laser vaporization is an outpatient procedure associated with minimal discomfort, lower bleeding risk, and less overall stress on the body. 

For more information please go to the following website:  www.greenlightforbph.com

For very large prostates, Dr Lesani used the Plasmakinetic (bipolar) device also known as the PK TURP.  This device uses lower-voltage energy to vaporize or cut excess prostate tissue.  His preference and expertise for minimally invasive surgery has lead him to abandon the traditional TURP technique.  The traditional TURP also referred to as "the Roto-rooter" uses monopolar electric energy to cut prostate tissues and has been associated with increased risk of bleeding, incontinence, and prolonged hospital stay.

What is BPH ?

Benign Prostatic Hyperplasia is a medical condition synonymous for an enlarged prostate.  Most men become aware of an enlarged prostate because of the symptoms they experience.  They may suffer from passing urine too frequently during the day as well as at night.  It may take a long time to initiate a stream (hesitancy) and the stream is often weak and without force.  Although, the prostate is usually the culprit, these urinary symptoms may be related to an overactive bladder.  A urologist can help in evaluation, diagnosis and treatment of these common urinary problems.

The prostate begins to grow in size starting at age 40.  It grows at a different rate for different men.  Nearly 40% men in their 50s and 90% men in their 80s will have symptoms of BPH.  BPH if left untreated, may lead to bladder muscle failure, bladder stones, retention of urine, swelling of the kidneys and ultimately renal failure.

BPH Symptoms

BPH symptoms are often divided between Obstructive and Irritative.  Obstructive symptoms include: hesitancy, intermittent stream, weak stream, prolonged voiding time, straining to void and incomplete emptying.  Irritative symptoms include: frequency, urgency, nightime voiding and loss of urinary control.