Benign Prostate Disease
When men experience difficulty urinating, incomplete bladder emptying, or frequent urination, they may be suffering from urinary tract symptoms attributed to the non-cancerous enlargement of the prostate gland, termed benign prostatic hyperplasia (BPH).
For patients with more significant symptoms, treatment options range from medications to minimally invasive surgical procedures and traditional prostate surgery to remove a blockage or remove the prostate altogether (prostatectomy).
At St. Peter's, surgeons are using lasers and other advanced equipment to bring patients symptomatic relief without the risks of open surgery. The HoLEP (holmium laser enucleation of the prostate) procedure is an advanced technique that became available at St. Peter's Hospital in 2007. St. Peter's remains one of the only hospitals in the northeastern United States to offer HoLEP. GreenLight laser and transurethral resection of the prostate are other advanced procedures being performed by highly-experienced physicians at St. Peter's.
Transurethral Resection of the Prostate (TURP): A transurethral resection of the prostate (TURP) is a minimally-invasive procedure to remove prostate tissue that is obstructing the urethra. This improves urination and relieves the risk of complications such as recurrent urinary infections, bleeding, urinary retention, bladder stones, and kidney damage that can result from long-standing obstruction.
St. Peter's Hospital now offers two new TURP techniques, transurethral resection of the prostate in saline and transurethral vaporization of the prostate in saline, both of which are done with saline (salt) solution. The use of saline eliminates the possibility of "TUR syndrome" which is a potential complication resulting from the absorption of other types of fluid during tissue removal.
Holmium laser enucleation of the prostate (HoLEP): This procedure allows the largest of prostate glands to be treated without an incision, whereas in the past an open incision or a staged TURP (done in two separate settings) may have been required. HoLEP is associated with minimal blood loss, immediate relief in urinary symptoms, and usually requires only an overnight hospital stay. A surgeon at St. Peter's Hospital has one of the largest clinical HoLEP experiences in the entire eastern portion of the United States.
GreenLight laser: Another advanced minimally invasive technique for the treatment of BPH utilizes a laser energy termed GreenLight. The GreenLight laser quickly and precisely vaporizes obstructive prostate tissue with virtually no loss of blood and a low risk of complications. The GreenLight procedure is generally done on an outpatient basis, allowing a patient to be released a few hours after arrival at St. Peter's.