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What is the least invasive surgery for enlarged prostate?

Transurethral electrovaporization (TUVP) is a minimally invasive procedure in which physicians use an electric current to destroy prostate tissue. It is used to treat benign prostatic hyperplasia (BPH).

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Minimally Invasive BPH Treatments

Your physician can help you decide which treatment for benign prostatic hyperplasia (BPH) is right for you. Minimally invasive treatments are a good option for many men. A few of the more common types of procedures include:

Transurethral Needle Ablation

The transurethral needle ablation (TUNA) is a minimally invasive procedure to treat benign prostatic hyperplasia (BPH). It uses radiofrequency waves to heat and destroy tissue of the enlarged prostate. After inserting a cystoscope through the urethra to reach the prostate, small needles are inserted through the scope to send high-frequency radiowaves to destroy the tissue. The procedure uses local anesthesia and is performed in the physician’s office. Doctors use shields to protect the urethra from heat damage. This procedure can be a good option for men with other medical conditions, weak hearts, or who need to avoid anesthesia.

Transurethral Microwave Thermotherapy

Used to treat benign prostatic hyperplasia (BPH), transurethral microwave thermotherapy (TUMT) uses an antenna to send microwaves through a catheter to heat and destroy prostate tissue. A minimally invasive procedure, the thermotherapy is performed on an outpatient basis in about an hour, without general anesthesia, using a cooling system to protect the urinary tract. Erectile dysfunction and incontinence are not typical side effects of TUMT. Microwave therapy does not eliminate BPH, but it does reduce urgency, urinary frequency, and straining. This procedure can be a good option for men with other medical conditions, weak hearts, or who need to avoid anesthesia.

Transurethral Electrovaporization

Transurethral electrovaporization (TUVP) is a minimally invasive procedure in which physicians use an electric current to destroy prostate tissue. It is used to treat benign prostatic hyperplasia (BPH). A doctor inserts a scope which passes over the prostate to destroy tissue and seal blood vessels to reduce the risk of bleeding. A short hospital stay may be needed. Men with larger prostates are candidates for this procedure.

Prostatic Stent Insertion

In this minimally invasive procedure used to treat benign prostatic hyperplasia (BPH), prostate stents are placed in the bladder neck and prostatic urethra. They keep the prostatic urethra from collapsing and allow urine to drain from the bladder. Placed in the narrowed area caused by the enlarged prostate, the stent expands like a spring to keep the urethra open for urine flow. There are two types of prostatic stents, temporary and permanent. Patients may notice mild discomfort and increased urination. This procedure is often used for men who are not candidates for surgery.

Other BPH Treatments

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How do dogs get prostate infections?

Causes of Prostatitis in Dogs Organisms like Mycoplasma spp., Staphylococcus, Streptococcus, and Escherichia coli have been diagnosed as the culprit in some cases. In chronic cases, prostatitis is secondary to a condition called benign prostatic hyperplasia (BPH).

There are a variety of tests your veterinarian may want to run in order to diagnose your dog. When you first arrive at the veterinary clinic, she will begin by performing a physical exam on your dog. She will note any and all of his symptoms in order to narrow down her suspected illnesses. If she suspects prostatitis, she will perform a rectal examination on your dog so she can check the size of his prostate with her finger. In cases of prostatitis, it will be enlarged with increased sensitivity and pain. Blood work will be performed in order to see how things are functioning internally. If your dog has prostatitis, his blood work will indicate neutrophilia with a left shift and monocytosis. Also, toxic white blood cells may be seen. A urinalysis may be performed and a sample may be submitted for culture and sensitivity. The reason for this is, in many cases, the material in the prostate and the urine contains the same organisms. The ideal sample would come from the prostate itself, but caution must be taken. When trying to collect prostatic material, it can inadvertently release microorganisms into the blood and lead to septicemia. For more detailed diagnostics, the veterinarian may want to perform an ultrasound. This will allow her to look for small pockets of fluid within the prostate. If present, it will confirm her suspicions of prostatitis. She may also request to take a radiograph for another view of the organs. In chronic cases, the prostate may feel normal upon palpation. In these situations, the best material to collect and test is not from the prostate but actually a specimen of ejaculate.

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