Advertisement

How do TUNA and TURP compare for benign prostatic hyperplasia?

Marc B. Garnick, MD
Hematology & Oncology
A randomized, prospective clinical trial published in The Journal of Urology compared the safety and effectiveness of transurethral needle ablation (TUNA), a procedure that uses radio waves to heat and destroy prostate cells obstructing the urethra, with transurethral resection of the prostate (TURP) -- the most common procedure for benign prostatic hyperplasia (BPH), in which excess prostate tissue is cut away.

Researchers at seven centers in the United States enrolled 121 men in the trial; 65 underwent TUNA, and 56 had TURP. Over five years, both groups of men reported significant improvement in symptoms, quality of life, urine flow, and post-void residual volume (the amount of urine left in the bladder after attempting to void). But in most cases, the improvements were greater among the TURP patients. Patients who had TURP were less likely to need a second procedure than TUNA patients -- 1.8% versus 13.8%.

However, patients undergoing TURP experienced more adverse events, or side effects, of the procedure than patients undergoing TUNA. For example, the incidence of erectile dysfunction following TUNA was 3.1%, versus 21.4% for TURP. None of the patients in the TUNA group experienced retrograde ejaculation, but 41% of the patients who underwent TURP did.

Continue Learning about Enlarged Prostate Treatment

What are the benefits of saw palmetto for BPH?
RealAgeRealAge
Here are the pros of using saw palmetto to help treat benign prostatic hyperplasia (BPH): Has be...
More Answers
How is a photoselective vaporization of the prostate (PVP) performed?
Marc B. Garnick, MDMarc B. Garnick, MD
During photoselective vaporization of the prostate (PVP), also called the GreenLight procedure, the ...
More Answers
What is balloon dilation of the prostate?
RealAgeRealAge
In the treatment of benign prostatic hyperplasia, or enlarged prostate, balloon dilation, also c...
More Answers
What are minimally invasive procedures to treat BPH?
RealAgeRealAge
The traditional surgical options for benign prostatic hyperplasia (BPH) may provide the best cha...
More Answers

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.