Benign Prostatic Hyperplasia (BPH)

Erectile Dysfunction Vasectomy represents the most definitive form of male contraception. This 10-15 minute procedure is usually completed in the office under local anesthesia without the need for a scalpel incision. This "no-scalpel" technique permits access to each vas deferens-the tube carrying sperm from the epididymis/testis to the urethra-through

Dr. Cornell is respected as one of the nation's foremost prosthetic urologists. He specializes in placing both the three-piece inflatable penile implant and artificial urinary sphincter (AUS) through a single scrotal incision in a single surgical procedure.

Post-Prostatectomy Incontinence

Post-prostatectomy urinary incontinence (PPI) is the involuntary leakage of urine following radical prostatectomy to treat prostate cancer. PPI represents a specific form of stress urinary incontinence where increased abdominal pressure from a cough, sneeze, or simple physical straining results in the leakage of urine

Benign Prostatic Hyperplasia (BPH)

BPH is not simply a case of too many prostate cells. Prostate growth involves hormones, occurs in different types of tissue and affects each man differently. Dr. Cornell uses uses state-of-the-art techniques, including the Prostiva office prostate thermotherapy procedure and the saline electrovaporization transurethral resection (saline TURP)

Erectile Dysfuntion

Erectile dysfunction (ED) is the inability to achieve or sustain an erection satisfactory for intercourse. Over half of men over the age of 40 and more than 75% of men over 75 have some form of ED. Nearly every one of these men can be successfully treated

VIEW LARGER MAP

Benign Prostatic Hyperplasia (BPH)

BPH is not simply a case of too many prostate cells. Prostate growth involves hormones, occurs in different types of tissue (e.g. muscular, glandular), and affects each man differently. Because of these differences, treatment will vary in each case. Once prostate growth begins to compromise urinary flow, it often continues unless medical therapy is started. The prostate grows in two ways. In one type of growth, cells multiply around the urethra (urinary drainage tube) and squeeze it, much like squeezing a straw. The second type of growth is middle-lobe prostate growth in which cells grow into the urethra and the bladder outlet area. This type of growth typically requires surgery or office thermotherapy to restore normal urinary flow.

Incidence And Prevalence

It is difficult to establish incidence and prevalence of BPH because research groups often use different criteria to define the condition. According to the National Institutes of Health (NIH), BPH affects more than 50% of men over the age of 60 and as many as 90% of men over the age of 70.

Dr. Cornell has facilities to diagnose and treat BPH. These services include:

Medical Treatment

There are several medical and surgical treatment options for men with BPH, depending on the severity of symptoms. If symptoms do not threaten the man’s health, he may choose not to be treated. If symptoms are severe enough to cause discomfort, interfere with daily activities, or are associated with lower urinary tract infection, treatment is usually recommended.

Medications taken before bedtime can improve urinary flow and, over time, actually shrink the prostate and promote low-pressure, complete bladder emptying.

Office Thermotherapy

Transurethral needle ablation (TUNA) Prostiva radiofrequency thermotherapy often represents the next step in BPH treatment when medication fails to relieve obstructive symptoms. The procedure is performed in the office in about 20 minutes. Typically, only local anesthesia with mild oral sedation is required for the office procedure. TUNA can be used in patients with metal implants and cardiac pacemakers and defibrillators who may not be candidates for microwave thermotherapy (TUMT) or other minimally invasive options. TUNA is designed to permanently reduce BPH symptoms in one treatment session and is the modality which I have chosen to perform in my office, given its excellent treatment outcome and the absence of irritative voiding symptoms or bladder thermal injury which complicates other treatment options.

ShareThis