Treatment of Benign Prostate Diseases

There are a variety of effective treatment options available for men with prostate disease. Your provider will explain the options to you, and make recommendations based on your specific condition.

In cases of prostatitis, it’s important to determine the specific type in order to treat it properly. Prostatitis caused by an infection is usually treated with antibiotics. Chronic pelvic pain caused by some types of prostatitis is often treated with anti-inflammatory drugs and analgesics.

Other prostate problems can be treated using outpatient surgical techniques that reach the prostate through the urethra. Some procedures allow the provider to remove tissue from an enlarged prostate using less invasive techniques. These procedures use heat to destroy excess prostate tissue. The heat can be delivered to the prostate several different ways. These include transurethral needle ablation, transurethral microwave thermotherapy, or water induced thermotherapy.

When medications or outpatient techniques cannot effectively treat a prostate condition due to its severity, the size or shape of the prostate gland, or for other reasons, there are several surgical options available. Perhaps the most common surgical treatment for BPH is called transurethral resection of the prostate. In this procedure, the provider passes an instrument through the urethra and trims away excess prostate tissue. A similar procedure is called transurethral incision of the prostate where, instead of removing tissue, the provider widens the urethra by making small incisions in the prostate and bladder neck. These incisions help relieve pressure without trimming away tissue. This procedure is used in cases where the prostate is small but causing obstruction to the outflow of urine.

Other ways to remove excess prostate tissue with instruments passed through the urethra include laser enucleation or vaporization, and electrical vaporization.

Finally, a less commonly used treatment for prostate disease is called open prostatectomy. During this procedure, the provider removes part of the prostate through an incision in the lower abdomen or between the anus and scrotum. This surgery is performed in cases when the prostate is very large and causing severe obstruction to the outflow of urine, or when other procedures cannot be done.