The right treatment depends on the diagnosis, anatomy, overall health and personal goals. Most people start with an evaluation and, when appropriate, simpler measures such as lifestyle changes or medication. The procedures below are discussed at a consultation, including their benefits, risks and alternatives, before any decision is made.
Enlarged prostate (BPH)
- UroLift (prostatic urethral lift). Small permanent implants hold enlarged prostate tissue away from the urethra. No tissue is cut, heated or removed.
- Plasma bipolar TURP. Transurethral resection of the prostate using bipolar energy in saline, performed through the urethra with no skin incision.
- Aquablation. A robot-assisted procedure, guided by real-time ultrasound, that uses a heat-free waterjet to remove obstructing prostate tissue through the urethra.
- Prostate artery embolization (PAE). Offered at Advanced Urology by our interventional radiology team. Small particles reduce blood flow to the prostate through a catheter placed at the wrist or groin. Dr. Neal Patel can evaluate whether PAE may suit you and coordinate the referral.
Overactive bladder and incontinence
- Percutaneous tibial nerve stimulation (PTNS). A series of short in-office sessions that stimulate the tibial nerve near the ankle with a fine needle electrode.
- Altaviva implantable tibial nerve stimulation. A small rechargeable Medtronic device placed under the skin near the ankle that stimulates the tibial nerve automatically. It is FDA-approved for urge urinary incontinence when more conservative treatments have not worked or were not tolerated.
- Sacral neuromodulation (SNS / InterStim). A small implanted device that sends mild electrical pulses to the sacral nerves, which help control the bladder. A trial period usually comes first.
- Botox bladder injections. Botulinum toxin injected into the bladder wall through a thin scope to relax an overactive bladder muscle. Injections are repeated over time.
- ProACT adjustable continence therapy. Two small adjustable balloons placed beside the urethra for men with stress urinary incontinence that persists after prostate surgery. Balloon volume can be adjusted in the office.
Kidney stones
- Ureteroscopy and laser lithotripsy. A thin scope passed through the urinary tract, with no incisions, to break up stones with a laser and remove the fragments.
Men's health
- Vasectomy. A short office procedure under local anesthesia for permanent male contraception, confirmed by a follow-up semen test.
Surgery and other options
- Robotic urologic surgery. Minimally invasive robotic surgery for conditions of the prostate, kidney and bladder, performed through small incisions.
- Vanquish. A minimally invasive treatment option offered by the practice. Ask the office whether it applies to your situation.
Your next step
Call 678-344-8900 to book with Dr. Neal Patel in Johns Creek or Cumming, or ask your doctor to send a referral by fax to 678-666-5201.
Reviewed by Dr. Neal Patel, MD, board-certified urologist. This page is general information and not a substitute for medical advice.