About BPH (Benign Prostatic Hyperplasia)

Benign Prostatic Hyperplasia, also known as BPH, is the term for the non-cancerous enlargement of the prostate. BPH is a common urinary concern, especially for men of advanced age. It is estimated that half of all men will have some degree of lower urinary tract symptoms by the age of 60 and that number increases to 80% by the time a man reaches 80 years old.

BPH does not cause prostate cancer – they are two separate conditions. However, many of the symptoms of BPH are also shared with prostate cancer, so it is important that you visit a urologist at the first signs of urinary trouble for an accurate diagnosis.

The most common symptoms of BPH include:

  • Frequent urination, including getting up several times at night to urinate (nocturia) and an uncontrollable urge to urinate
  • The inability to completely empty the bladder (urinary retention). This may cause trouble beginning a urine stream, weak flow and the feeling of needing to urinate immediately after going to the bathroom
  • Pain during urination (dysuria)

While these symptoms are not life threatening, they can interfere with a man’s daily life. They can also be disruptive to significant others.

Treatments for BPH

If the patient does not respond well to medications (they can become less effective over time and may have significant side-effects), there are several treatment options to consider. These include minimally invasive, in-office BPH therapies such as Prostiva RF Therapy (Transurethral Needle Ablation) and more invasive surgical procedures such as Laser and TURP (Transurethral Resection of the Prostate).

Minimally Invasive BPH Treatment IN New Jersey

Prostiva RF Therapy (TUNA)

Prostiva RF Therapy, also known as Transurethral Needle Ablation or TUNA is a minimally invasive in-office treatment for the management of mild to moderate prostatic enlargement due to Benign Prostatic Hyperplasia (BPH) or Enlarged Prostate. This therapy uses concentrated radio frequency waves to generate heat within the prostate while sparing surrounding tissue including the urethra. Because of the precision of the technology, the procedure can be performed right here in our office in under an hour. Prostiva is distributed exclusively by Urologix, Inc. You can learn more about Prostiva RF at http://www.urologix.com.

How Prostiva Works:

Prostiva RF Therapy relieves BPH symptoms by using radio frequency (RF) energy to reduce excess prostatic tissue which relieves the constriction of the urethra. A long, thin tube is inserted through the urethra to the prostate. When the device is properly positioned, your urologist will deploy tiny electrodes that deliver directional RF waves right into the prostate to reduce the excess prostatic tissue. As the prostate heals after the procedure, the excess tissue will be absorbed into the body and over time, about 8-10 weeks, the symptoms of BPH should improve.


As with any medical treatment, results will vary between patients. However, Prostiva RF has been proven effective for up to 5 years after the procedure. Most men will see incremental improvements in Lower Urinary Tract Symptoms (LUTS) and flow over the course of 8-10 weeks. Speak to us to get an idea of the results you should expect from a Prostiva RF procedure.
Recovery and Aftercare:

Most patients report minimal discomfort from the Prostiva RF procedure. Pain and discomfort will be managed through mild sedatives or medication during and after the procedure if needed. Because you will be taking medication, you will need to have someone available to drive you home after the procedure.

Some patients may have a catheter inserted after their procedure. This is usually necessary for only a few days following the procedure and may be mildly uncomfortable. The catheter will be removed at a subsequent appointment. You may feel some discomfort during urination for a couple days after the catheter is removed.

As mentioned above, the benefits of the procedure may not be fully realized until several weeks after the procedure. This allows the patient’s body to heal and absorb the excess tissue into the body. Please contact our office to learn more about the benefits, risks and considerations of this procedure and if it is right for your particular circumstances.

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