OPTION 2
|
Surgery: Non - Resective
Surgery is a more invasive and perhaps longer-lasting treatment for BPH.
​
In non-resective procedures, prostate tissue is not removed at the time of surgery. These procedures generally do not require an overnight stay in a hospital, and may sometimes be done outside of the hospital.
​
However, by not removing the prostate tissue, there is a risk that a patient will need to go back on medication or get another procedure because the prostate will keep growing. (1)
TREATMENT TYPES:
PROSTATIC URETHRAL LIFT
WATER VAPOR
-
Urology Care Foundation, The Official Foundation of the American Urological Association. Accessed Dec 2019. https://www.urologyhealth.org/urologic-conditions/benign-prostatic-hyperplasia-(bph)
PROSTATIC URETHRAL LIFT
HOW IT WORKS
​
-
Uses a camera through the urethra plus ultrasound imaging
-
Surgeon creates map of prostate tissue to remove
-
Heat-free waterjet removes prostate tissue
RATES OF IRREVERSIBLE COMPLICATIONS​
-
Low rates of irreversible complications (a,b)​​
​CONFIDENCE IN PROCEDURE​
-
Manual procedure
-
Not suitable for every prostate size (b)
​RECOVERY​
-
Most patients go home same day (a)
-
Most patients go home with a catheter (a)
-
Patients may experience pain or burning while urinating or blood in urine
a. Sonksen, J, et al. Prospective, randomized, multinational study of prostatic urethral lift versus transurethral resection of the prostate: 12-month results from the BPH6 study. Eur Urol. 2015 Oct;68(4):643-52.b. UroLIFT System UL 400 Instructions for Use. L00181-01 Rev A 02/2020
WATER VAPOR
HOW IT WORKS
​
-
Uses a camera through the urethra
-
Hot water vapor (or steam) is used to kill overgrown prostate tissue
RATES OF IRREVERSIBLE COMPLICATIONS​​​
-
High rates of irreversible complications (a,b)​​
​CONFIDENCE IN PROCEDURE​​
-
Manual procedure
-
Not suitable for every prostate size (b)
​RECOVERY​
-
Most patients go home same day (a)
-
Most men have a catheter for 3.4 days. (c)
-
Side effects may include pain or burning while urinating or blood in urine
a. Westwood, J, et al. Rezum: a new transurethral water vapour therapy for benign prostatic hyperplasia. Ther Adv Urol. 2018 Nov; 10(11): 327–333.b. RezÅ«m™ Delivery Device Kit for BPH Prescriptive Information. Instructions for Use. URO-592203-AB OCT 2019c. McVary KT, et al. Minimally Invasive Prostate Convective Water Vapor Energy Ablation: A Multicenter, Randomized, Controlled Study for the Treatment of Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia. J Urol. 2016 May;195(5):1529-1538.
