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BPH – Enlarged Prostate

*Introducing Dr. Lazare

BPH, or Benign Prostatic Hyperplasia, causes enlargement of the prostate in the absence of cancer. This condition affects millions of men starting in their fifties. The symptoms of BPH include weak urine stream, frequent urination, urgency, and urgency incontinence.

The enlarged prostate partially blocks the flow of the urine.  The prostate is a male sex gland located below the bladder.  The prostate surrounds the urethra, or the channel through which the urine flows, like a doughnut.  As the prostate enlarges, the urethra is compressed, and blockage ensues.

The treatment of BPH starts with medication.  Flomax, or tamsulosin, is an alpha blocker that relaxes the smooth muscle surrounding the prostate.  Avodart or Proscar, are two medications that shrink the size of the prostate.  Avodart and Proscar produce only limited shrinkage, and they are not very effective medications.  If medications prove unsatisfactory, the next step is a surgical procedure.


The Transurethral Resection of the Prostate or TURP is performed in the hospital with the patient under general or spinal anesthesia. The procedure involves placing a fiber–optic telescope into the penis and advancing it to the prostate.  An electric current is passed through a wire loop.  The loop is advanced out the tip of the telescope and into the prostate. The hot loop cuts away the inside part of the prostate that is blocking the flow of urine. The outside part of the prostate is not affected.

Patients remain in the hospital overnight. *The catheter is usually removed in the morning and the patient is then discharged home. *In most patients, the procedure does not affect the erection or the sensation of orgasm. The TURP does, in most cases, cause the patient to ejaculate less fluid. You should not have this procedure if you want to have more children. Significant bleeding or incontinence are rare complications.

The Green Light Laser Prostatectomy is similar to the TURP, except that it uses laser energy instead of electricity.  A cystoscope, or fiber-optic telescope, is inserted into the urethra. A laser fiber is inserted through the scope and laser energy is applied to the prostate. The inside part of the prostate that is causing blockage is vaporized by the laser.

*The advantage of this procedure is that blood loss is usually very low.  This procedure can even be performed on men taking aspirin or blood thinners. *The patient usually returns home catheter-free in less than 24 hours.

*Please see the following video that demonstrates the Green Light Laser procedure: