What is the Main Treatment for BPH?
Various treatment options are available for managing BPH. Your physician may recommend medications or possibly invasive surgical procedures to alleviate symptoms. However, some medications can have undesirable side effects, including sexual performance issues affecting ejaculation or cause erectile dysfunction (ED), and may be associated with other health conditions like heart failure, dementia, or diabetes.
Several revolutionary procedural treatments can improve the quality of life with minimal side effects for those who prefer to avoid medications, post-op catheters, or trauma to the urethra.
Holmium Laser Enucleation of the Prostate (HoLEP)
HoLEP is a highly effective procedure for treating BPH without long-term medication or repeated surgeries*. Dr. Austen Slade, a renowned Boise urologist, offers the HoLEP procedure with the state of the art Moses Laser using the smallest and most minimally invasive tools available in the United States. In fact he was the first and currently only urologist to utilize the 21 French instruments, a significant reduction in size compared to the standard 28 French instruments. This approach minimizes trauma to the urethra and has been shown to reduce risk of urinary incontinence.
For most patients the urinary catheter is able to be removed the same day of surgery, further minimizing discomfort after the procedure and allowing the recovery process in the days after to be more enjoyable compared to traditional procedures.
HoLEP stands out for its exceptional value. For 98% of patients, it eliminates the need for additional surgeries or procedures for up to 20 years, providing long-lasting relief compared to alternatives like UroLift, which has a 12% rate of patients requiring other surgeries in as little as two years. Furthermore, HoLEP procedures are universally covered by insurance, making it a cost-effective choice for many.
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Additional Treatment Options for BPH
Options such as ReZum Water Vapor Therapy, Optilume BPH, or iTind may be suitable, depending on prostate size and the balance between symptom relief desired and avoidance specific side effects such as retrograde ejaculation. Dr. Slade has specifically curated a selection of treatment options allowing prioritizing of efficacy, durability, patient comfort, side effects and recovery.