Prostate Enlargement

Benign Prostatic Hyperplasia (BPH)

By the age of 50, most men will have symptoms of benign prostatic hyperplasia (BPH) also known as prostate gland enlargement.

Some of the symptoms of BPH include:
  • Frequent or urgent need to urinate
  • Inability to urinate completely or empty the bladder
  • Weak urine stream
There are many treatments for BPH including:
  • Conservative management- lifestyle changes
  • Medical management- Alpha blockers which relax the muscles of the prostate and hormonal treatments which can decrease the size of the prostate
  • Surgical management- Many doctors will recommend surgery for men who need more aggressive treatment for BPH and who don't respond to medicine or lifestyle changes.
Usually, the TURP (Transurethal resection of the prostate) procedure is the most common surgery performed on BPH.

During the TURP procedure, an instrument is inserted into the prostate and then a hot wire is used to cut away the excess tissue blocking urine flow. However, with this surgery there are many disadvantages including:
  • High risk of bleeding
  • Electrolyte disturbances in the body
  • Limit on the size of the prostate the surgery can be performed on
  • Occasionally, a need for retreatment or more surgery

Advanced, Innovative Treatment for BPH at University Health

University Health System, in partnership with UT Health San Antonio, is proud to boast one of the few centers in the country, and one of the only 2 centers in Texas that perform the ThuLEP (Thulium laser enucleation of the prostate) /HoLEP (Holmium laser enucleation of the prostate) procedures to treat BPH.

These advanced, innovative procedures are much less invasive than the TURP procedure and have many other advantages including:

  • Less recovery time (patients are usually in the hospital recovering less than 24 hours after surgery)
  • Less bleeding
  • No limit on the size of prostate that the surgery can be performed on
  • Low chance of another surgery being needed
Our team of specialists  are not only specially trained in these latest techniques, they are also committed to training other surgeons in the ThuLEP/HoLEP procedures.