Treatment of an enlarged prostate can be with medicines, in-office procedures or surgery

Treatment of an enlarged prostate can be with medicines, in-office procedures or surgery.

Medicines for prostate obstruction include alpha blockers (Example tamsulosin) and 5 alpha reductase inhibitors (Example finasteride). All prostate medications have sexual side effects and these sexual side effects are often bothersome and undesired.

In office procedures, such as UroLift have revolutionized treatment for enlarged prostate symptoms. 

  • Fronczak is a Center of Excellence (COE) for Urolift and is the first female urologist in Colorado to achieve the COE designation.
  • To earn COE designation, Dr. Fronczak was clinically proctored on the safe and effective use of UroLift and earned UroLift COE distinction only after demonstrating superb clinical outcomes with UroLift.
  • UroLift is one of the treatments recommended by the American Urological Association for treatment of enlarged prostate.
  • UroLift works by placing 4-7 tiny MRI compatible implants into each lobe of the prostate which essentially pulls the obstructing prostate lobes away from one another to open the flow of urine.
  • There are no sexual side effects with UroLift.
  • UroLift procedures are done in the office with local anesthesia and/or nitrous oxide laughing gas. Sometimes, UroLift treatment of more difficult prostate anatomy will be done in the operating room.
  • Many UroLift patients go home after their procedure without a foley catheter. If a foley is placed, it is often in place for less than 48 hours.

Transurethral resection of prostate (TURP)

  • It is the “gold standard” treatment for BPH.
  • Now days, with the evolution of excellent in-office treatments like Urolift, TURPs are often for larger prostate glands or prostates with challenging anatomy. Fronczak will be honest and clear as to whether she feels her patient’s prostate is best treated with a TURP or other option.
  • TURPs need to be done in the operating room with anesthesia and require an overnight stay in the hospital.
  • A TURP still today has the highest efficacy for treating symptoms because the obstructing prostate tissue is removed surgically with a minimal invasive technique (No skin incision). However, a TURP also has a high likelihood of causing retrograde ejaculation, which is when ejaculate goes back into the bladder instead of coming out of the tip of the penis during an erection. If a man would be significantly bothered with having retrograde ejaculation, then a TURP would not be a good procedure for him to have for his prostate.

Robotic simple prostatectomy – for very large prostates >200g. The obstructing prostate adenoma is remove via a robotic laparoscopic procedure.