For decades, prostate cancer treatment followed a straightforward principle: treat the entire prostate. Whether through surgery or radiation, the goal was to remove or destroy all prostate tissue to eliminate cancer and reduce the risk of recurrence.

That approach is still appropriate—and often necessary—for many men.

However, advances in imaging and diagnostics have changed how we think about prostate cancer. Today, in carefully selected patients, it is possible to treat only part of the prostate while maintaining cancer control and reducing the risk of life-altering side effects.

This approach is not for everyone. In my practice, focal therapy is best reserved for men who are particularly concerned about preserving erectile function and who meet strict clinical criteria.

Why Most Treatments Involve the Entire Prostate

Prostate cancer is often multifocal, meaning cancer can exist in more than one area of the gland. Historically, physicians could not reliably identify exactly where all clinically significant cancer was located. Because of that uncertainty, treating the entire prostate became the safest and most reliable strategy.

Whole-gland treatment typically includes radical prostatectomy or radiation therapy. These treatments have decades of long-term data supporting excellent cancer control and remain the gold standard, particularly for men with higher-risk disease.

It is also important to note that side effects from whole-gland treatment have improved dramatically. Long-term urinary incontinence is far less common today than it once was, especially when treatment is performed using modern techniques and by experienced teams.

What Has Changed: Precision Imaging

The most meaningful change in prostate cancer care has been the ability to better characterize the disease before treatment decisions are made. We no longer have to guess.

• High-Quality Multiparametric MRI: This allows us to visualize suspicious regions within the prostate and assess tumor size, location, and aggressiveness.
• PSMA PET Imaging: In select situations, this advanced scan helps identify if cancer has spread outside the prostate. If it has, focal treatment is usually inappropriate.
• MRI-Guided Targeted Biopsy: This refines the diagnosis by confirming cancer grade and extent with much greater accuracy than traditional random biopsy alone.

Together, these tools allow for a thoughtful, individualized discussion rather than a “one-size-fits-all” approach.

When and Why I Consider Focal Therapy

Focal therapy is based on the idea of treating the part of the prostate harboring the significant cancer while preserving surrounding tissue.

In my practice, I primarily consider this for men who are highly motivated to preserve erectile function and who understand both the benefits and limitations.

One of the most effective options we use is Irreversible Electroporation, commonly known as NanoKnife. This technology allows for targeted treatment while minimizing injury to nearby structures, specifically the nerves responsible for erections.

The “Regional” Approach Importantly, focal therapy does not mean treating only a single “spot” seen on an MRI. When I perform focal therapy, I treat a defined region of the prostate that includes the known tumor as well as a safety margin of surrounding tissue. This regional approach is designed to improve cancer control and reduce the risk of early recurrence compared to treating only the visible lesion.

How We Decide Together

There is no shortcut to deciding if this path is right for you. Every patient is different, and the decision is made collaboratively.

When discussing focal therapy, we carefully review:

• Prostate MRI findings: What the images do—and do not—show.
• Biopsy pathology: Specifically the cancer grade and volume.
• Sexual Function: Your current baseline and the risks associated with different options.
• Recurrence Risks: The difference in recurrence rates between focal therapy and whole-gland treatment.
• Personal Goals: Your priorities regarding quality of life vs. maximal cancer control.

I also work closely with our radiation oncologist at Texas Cancer Specialists. Our recommendations are based on what is best for the cancer, not simply which procedure I prefer. Surgery, radiation, focal therapy, and active surveillance are all discussed openly.

Understanding the Trade-Offs

While focal therapy reduces the risk of erectile dysfunction, it comes with a trade-off that must be discussed openly: Recurrence.

Because not all prostate tissue is treated, there is a possibility that cancer could develop or be detected elsewhere in the gland over time. This risk depends heavily on patient selection and the quality of the treatment planning.

Published data on NanoKnife suggests that, in properly selected patients, cancer recurrence rates are under 10% at five years. In my experience, with careful regional treatment and strict selection criteria, outcomes have been at least as good—and often better.

However, if cancer biology or imaging suggests a high likelihood of recurrence, whole-gland treatment remains the safest option for long-term survival.

Experience and Judgment Matter

The decision to pursue focal therapy should never be based on technology alone. It requires experience across the full spectrum of prostate cancer treatment.

I have more than 20 years of experience treating prostate cancer, including advanced training in prostate cancer management at MD Anderson Cancer Center. My background in robotic prostate surgery allows me to evaluate focal therapy not just as a procedure, but in the context of long-term cancer control.

The focus is always on keeping the risk of recurrence low while preserving your quality of life.

The Bottom Line

Most prostate cancer treatments still involve treating the entire prostate, and for many men, that remains the best option.

However, advances in imaging and biopsy have made focal therapy a viable option for a select group of men. When performed thoughtfully by an experienced team, it offers a middle ground that prioritizes sexual function without sacrificing safety.

Are you interested in learning if you are a candidate for Focal Therapy? The most important step is an individualized evaluation. Contact our office today to schedule a consultation so we can review your imaging and discuss your options.

Most men do not delay scheduling a vasectomy because they are unsure their family is complete.

They put it off because they imagine the wrong thing.

Pain. Stitches. Swelling. Embarrassment. A long recovery. A week on the couch. Some vague fear that things will not feel the same afterward.

The reality is usually much simpler.

At my Arlington office, a no-scalpel vasectomy is performed through a tiny opening in the skin, using local anesthesia, without a traditional incision and without stitches. The procedure itself usually takes about 10 minutes, and most men are surprised by how straightforward it feels.

For many patients, the hardest part is not the vasectomy.

It is making the appointment.

What Is a No-Scalpel Vasectomy?

A vasectomy blocks the vas deferens, which are the small tubes that carry sperm from the testicles. Once those tubes are blocked and your follow-up semen test confirms that no sperm are present, sperm can no longer enter the semen.

You still ejaculate normally.

You still produce testosterone normally.

Your erections, sex drive, orgasm, and masculinity do not change.

Because sperm make up only a small portion of semen, usually around 10%, most men should not see or feel any difference when they ejaculate. The majority of semen fluid comes from the prostate and seminal vesicles, which are not affected by a vasectomy.

The goal is simple: keep sperm out of the semen.

With a traditional vasectomy, small incisions are made in the scrotal skin. With a no-scalpel vasectomy, I use a specialized instrument to create one tiny opening instead of making a traditional cut. Through that small opening, the vas deferens are accessed, divided, sealed, and secured.

Because there is no traditional incision, there is usually less bleeding, less tissue trauma, no need for stitches, and a faster recovery for most men.

Why Technique Matters

A vasectomy is quick, but it should never be careless.

Most people think the procedure is just about “cutting the tubes.” That is only part of it. The real goal is to block the vas in a way that makes failure extremely unlikely.

One rare reason a vasectomy can fail is called recanalization, where the two ends of the vas deferens reconnect over time.

That is why my technique is intentionally meticulous. I do not just cut the vas and move on. I cut it, cauterize it, seal it, and place a tiny clip on each end to help keep the two sides separated.

The clips are very small, roughly the size of an ant. They sit deep on the vas deferens, are not visible, and patients should not be able to feel them after healing. They also do not set off airport metal detectors.

That extra detail matters.

A 10-minute procedure still deserves careful technique.

Can the Consultation and Vasectomy Be Done the Same Day?

In many cases, yes.

If you are certain your family is complete, we can often perform the consultation and no-scalpel vasectomy during the same visit. We review your medical history, confirm that you understand the permanent nature of the procedure, answer your questions, and then perform the vasectomy if everything is appropriate.

This is one reason men across Arlington and the DFW area choose this approach and make an appointment with Dr. Bevan-Thomas. It is efficient, practical, and designed for busy patients who do not want to make multiple office visits for something that can often be handled in one appointment.

What Happens During the Procedure?

First, the area is cleaned and numbed with local anesthesia. You may feel a quick pinch or pressure with the numbing medicine, but after that, you should not feel sharp pain.

Once the area is numb, I make a tiny opening in the skin and gently access the vas deferens. Each side is divided, cauterized, sealed, and secured with tiny clips, roughly the size of an ant, to help keep the two ends separated.

The procedure itself usually takes about 10 minutes.

No stitches are needed. A small bandage is placed over the area, and you go home the same day.

I commonly use Celebrex, a strong anti-inflammatory medication, to help reduce swelling and discomfort after the procedure. Antibiotics are also used to help reduce the already low risk of post-procedure infection.

Most men walk out saying some version of:

“That was it?”

The Rule of 5’s: How to Recover the Right Way

The procedure is short, but recovery still matters.

That is why I use what I call the Rule of 5’s:

Take it easy for 5 days.

That does not mean you are helpless for 5 days. It means you should respect the healing process and not create unnecessary swelling, bleeding, or discomfort by doing too much too soon.

For the first 24 to 48 hours, keep activity low. Stay off your feet as much as possible, use ice packs, wear supportive underwear, and avoid unnecessary walking, lifting, or exertion.

You will also receive clear medication instructions. For many patients, this includes Celebrex, which helps reduce inflammation and soreness during the early recovery period. Antibiotics are also used to further reduce the small risk of infection.

These medications are helpful, but they are not a substitute for proper recovery. The most important part is still following the Rule of 5’s and not overdoing activity too early.

Over the next few days, you can gradually return to light activity. Most men can get back to desk work quickly, depending on how they feel.

But for the first 5 days, avoid:

• Heavy lifting
• Running
• Cycling
• Strenuous workouts
• Yard work
• Sexual activity

By around day 5, most men can resume normal activity if they are feeling well.

The men who recover best are usually the ones who do not try to prove anything the first few days.

When Is a Vasectomy Effective?

This is the part you cannot ignore:

A vasectomy does not work immediately.

Sperm can remain in the reproductive tract for weeks to months after the procedure. That means you must continue using another form of birth control until your follow-up semen analysis confirms that no sperm are present.

In my practice, every patient uses the Fellows at-home semen analysis kit at about 3 months after the procedure.

This makes the follow-up process much easier. You collect the sample privately at home and mail it in for testing. No awkward trip to a lab. No rushing across town. No uncomfortable collection room.

Once the result confirms that no sperm are present, you can stop using backup birth control.

Until you are told that the sample is clear, you are not considered sterile.

This follow-up test is not optional. It is the step that confirms the procedure worked.

Does a Vasectomy Hurt?

Most men are surprised by how little discomfort they feel during the procedure.

The numbing medicine works well. During the vasectomy, you may feel pressure, movement, or tugging, but you should not feel sharp pain.

Afterward, a dull ache or soreness is common for a few days. This is usually managed with rest, ice, supportive underwear, and anti-inflammatory medication when appropriate.

The anxiety before the procedure is often worse than the procedure itself.

Will I Feel the Clips After Vasectomy?

No.

The clips used during the procedure are tiny, about the size of an ant, and are placed on the vas deferens beneath the skin. After healing, you should not be able to see or feel them.

They also do not set off airport metal detectors.

Will a Vasectomy Affect Testosterone, Erections, or Sex Drive?

No.

A vasectomy does not lower testosterone. It does not affect erections. It does not reduce sex drive. It does not change orgasm. It does not make you less masculine.

Your testicles still produce testosterone normally. The only thing that changes is that sperm are blocked from entering the semen.

Because sperm make up only about 10% of semen volume, most men should not see or feel any difference when they ejaculate. The majority of semen fluid comes from the prostate and seminal vesicles, which are not affected by the procedure.

In other words, the experience should feel the same. The semen simply no longer contains sperm once the follow-up test confirms clearance.

Is a Vasectomy Reversible?

Sometimes, but a vasectomy should be considered permanent.

Vasectomy reversal is possible in some cases, but it is more complicated, more expensive, and not guaranteed. If you think you may want more children in the future, you should wait.

A vasectomy is a great option for men who are confident their family is complete. It is not a good option for men who are still unsure.

Does Vasectomy Increase the Risk of Prostate Cancer?

No.

Current medical evidence does not show that vasectomy causes prostate cancer. A vasectomy blocks sperm transport. It does not change testosterone production, prostate biology, or sexual function.

This concern comes up often, but it should not be a reason to avoid the procedure.

Who Is a Good Candidate for No-Scalpel Vasectomy?

A no-scalpel vasectomy may be a good option if:

• Your family is complete
• You want permanent birth control
• You want to avoid ongoing hormonal contraception
• You want to avoid a more invasive procedure for your partner
• You want a quick office procedure without general anesthesia
• You understand that a vasectomy should be considered permanent

The best candidate is a man who has made a clear decision and wants the process handled efficiently, carefully, and correctly.

Why Men Usually Wish They Had Done It Sooner

Most men build up the vasectomy in their minds.

They imagine something far worse than what usually happens.

In reality, a no-scalpel vasectomy is typically a short office procedure, done with local anesthesia, through a tiny opening, with no stitches and a simple recovery plan.

You take it easy for 5 days.

You use the Fellows at-home semen analysis kit at 3 months.

Then, once you are cleared, you can stop worrying about permanent birth control.

For many couples, that peace of mind is the real benefit.

Schedule a No-Scalpel Vasectomy in Arlington, TX

If your family is complete and you want a permanent birth control option without a hospital visit, general anesthesia, stitches, or a long recovery, a no-scalpel vasectomy may be the right choice.

Dr. Richard Bevan-Thomas performs a no-scalpel vasectomy in Arlington for men across Dallas-Fort Worth, using a careful technique designed for comfort, efficiency, and long-term reliability.

Schedule a consultation to discuss whether a same-day consult and 10-minute no-scalpel vasectomy is right for you.

If my cancer appears to be limited to one area of the prostate, do I really need to treat the entire gland?

For many years, prostate cancer treatment often felt like an all-or-nothing decision. Either monitor the cancer with active surveillance, or treat the whole prostate with surgery or radiation.

Those options are still important. Some men absolutely need surgery. Some are better served with radiation. Some are safest with active surveillance.

But for carefully selected men with one clearly defined area of prostate cancer, there may be another option: focal therapy with NanoKnife.

NanoKnife uses a technology called irreversible electroporation, or IRE, to target a specific area of prostate tissue. The goal is to destroy the cancer focus while preserving as much normal prostate tissue as possible.

In plain English:

Treat the cancer. Preserve the man.

NanoKnife is not right for everyone. But for the right patient, it can be a compelling middle ground between active surveillance and whole-prostate treatment.

What Is Focal Therapy?

Focal therapy means treating only the part of the prostate where the significant cancer is located, instead of treating the entire gland.

That is the core idea.

With robotic prostatectomy, the entire prostate is removed. With radiation, the whole prostate is usually treated. Those treatments can be very effective and remain the right choice for many men.

NanoKnife is different.

It is designed for men whose cancer appears to be in one dominant, targetable area. That area may be on one side of the prostate, or it may be one specific region that can be seen on MRI and confirmed with biopsy.

The goal is not to randomly treat the whole prostate. The goal is to create a focused treatment zone around the known cancer.

That matters because the prostate sits next to structures that are important for urinary control and sexual function. If we can treat the cancer focus without unnecessarily damaging the rest of the prostate and surrounding tissues, we may be able to reduce side effects in appropriately selected patients.

How NanoKnife Works

NanoKnife uses irreversible electroporation, also called IRE.

Unlike treatments that burn tissue with heat or freeze tissue with extreme cold, NanoKnife uses short electrical pulses delivered through small needle-like probes placed into the prostate. These pulses create tiny openings in the membranes of targeted cells. When enough damage occurs, those cells can no longer survive and die off over time.

That is why NanoKnife is often described as a non-thermal ablation treatment.

The word non-thermal is important. Because NanoKnife does not rely on heat or freezing, the treatment does not depend on thermal spread through the tissue. The electrical treatment field is carefully planned around the tumor, with the goal of staying focused on the cancerous area inside the prostate while minimizing unnecessary injury to nearby structures.

The NanoKnife system has FDA clearance for surgical ablation of soft tissue, including prostate tissue, and the FDA summary describes the system as using irreversible electroporation to ablate targeted tissue.

Why MRI and Biopsy Results Matter

Focal therapy is only as good as the map.

If we are going to treat one area of the prostate, we need to know where the meaningful cancer is located.

That usually requires a high-quality prostate MRI and targeted biopsy. MRI can show suspicious areas in the prostate. Fusion biopsy allows us to sample those MRI-visible lesions while also checking the rest of the gland.

Before considering NanoKnife, we need to answer several important questions:

• Where is the cancer?
• How aggressive is it?
• Is there significant cancer somewhere else in the prostate?
• Does the cancer appear contained within the prostate?
• Is there one dominant area that can be safely targeted?

If the MRI and biopsy show one dominant targetable area, focal therapy may make sense.

If the cancer is high-volume, scattered throughout the prostate, very aggressive, or poorly defined on imaging, then treating only one area may not be enough. In those cases, surgery, radiation, or another treatment approach may be more appropriate.

Who May Be a Good Candidate for NanoKnife?

In my practice, I typically consider NanoKnife for men who appear to have one clearly defined area of prostate cancer that can be targeted.

A potential candidate may have:

• One dominant area of prostate cancer
• Cancer mainly on one side of the prostate
• A lesion visible on prostate MRI
• Biopsy results confirming the location and grade of the cancer
• No clear evidence that the cancer has spread outside the prostate
• A desire to treat the cancer while trying to preserve urinary and sexual function
• A clear understanding that follow-up is still required

The ideal patient is not someone with cancer scattered throughout the entire prostate. The ideal patient is someone with a cancer focus that can be accurately mapped and treated.

This decision cannot be made from the PSA alone. It requires a careful review of the MRI, biopsy results, cancer grade, prostate anatomy, risk category, and the patient’s goals.

Who May Not Be a Good Candidate?

NanoKnife is not for every prostate cancer.

It may not be appropriate for men with:

• Cancer in multiple areas of the prostate
• High-volume disease
• Very aggressive cancer features
• Cancer that is not clearly visible or targetable
• Evidence that cancer has spread outside the prostate
• A situation where whole-gland treatment would be safer or more effective

This is one of the most important parts of the consultation. The goal is not to force every patient into focal therapy. The goal is to determine whether focal therapy fits the cancer.

What Happens During the Procedure?

I perform NanoKnife at the surgery center, usually in under an hour.

The procedure is done under anesthesia. Small probes are placed into the prostate around the cancerous area. The placement is carefully planned so the electrical treatment field surrounds the target zone.

That planning is critical.

The goal is to keep the treatment focused on the cancerous area inside the prostate while minimizing unnecessary injury to nearby structures involved in urinary control and sexual function.

A catheter may be used temporarily while swelling settles down. Most patients go home the same day, depending on the specific situation and recovery from anesthesia.

Most patients can gradually return to normal activity as they recover. In my protocol, patients generally have no restrictions after 2 weeks, assuming they are healing well and there are no individual concerns.

What Are the Potential Benefits?

The biggest potential benefit of NanoKnife is precision.

NanoKnife is designed to treat a targetable cancer area without removing or radiating the entire prostate.

For carefully selected patients, potential advantages may include:

• No prostate removal
• No radiation exposure
• A focused treatment zone
• Less disruption of normal prostate tissue
• Faster recovery than major surgery
• Lower risk of urinary leakage than whole-gland treatment in appropriately selected patients
• Better chance of preserving sexual function compared with more aggressive whole-prostate treatment, depending on cancer location and baseline function

But NanoKnife is not magic.

It is a tool. A promising tool, but still a tool. The outcome depends on the cancer, the imaging, the biopsy, the treatment plan, the patient’s anatomy, and the follow-up.

What Does the Recurrence Data Show?

When patients ask about NanoKnife, one of the most important questions is:

How often does the cancer come back?

The answer depends on what we mean by “come back.”

With focal therapy, there are two different issues:

In-field recurrence means cancer found again inside the area that was treated.

Out-of-field cancer means cancer found somewhere else in the prostate, outside the treated zone.

That distinction matters because NanoKnife does not remove or treat the entire prostate. It is designed to target the known cancer area while preserving as much normal tissue as possible.

In well-selected patients, early studies have reported relatively low rates of clinically significant cancer returning in the treated zone, often around 10% or less. Published NanoKnife data have reported in-field recurrence around 9.8% in one series and clinically significant cancer in the treated area around 9.9% on repeat biopsy in another study, depending on the study design and definition used.

That is encouraging, but it has to be understood correctly.

A low in-field recurrence rate does not mean the entire prostate is “cured forever.” It means the treated zone appears to be well controlled in many carefully selected patients. Because the rest of the prostate remains in place, cancer can still be found elsewhere in the gland over time.

That is why follow-up after NanoKnife is not optional. Patients still need PSA monitoring, repeat MRI when appropriate, and sometimes repeat biopsy.

The Bottom Line

NanoKnife is one of the most important focal therapy conversations in prostate cancer for 2026.

For the right patient, it may offer a way to treat a defined prostate cancer focus without removing or radiating the entire prostate.

That is the key idea:

Treat the cancer focus. Preserve as much normal prostate as possible. Keep watching carefully.

NanoKnife is not for every man. It is not a shortcut. It is not a guarantee. It is a focused treatment strategy that depends on accurate diagnosis, careful planning, and long-term surveillance.

The American Urological Association notes that focal therapy approaches, including IRE, are still undergoing extensive evaluation in prospective studies, which is why careful counseling and patient selection are so important.

For the right patient, though, NanoKnife can be a powerful option to discuss.

Schedule a NanoKnife Consultation in Arlington, TX

If you have been diagnosed with localized prostate cancer and want to understand whether focal therapy may be appropriate, Dr. Richard Bevan-Thomas can help you review your options.

At our Arlington office, we evaluate your PSA, MRI, biopsy results, cancer grade, prostate anatomy, health history, and personal priorities to determine whether NanoKnife may be reasonable.

The goal is not to push one treatment.

The goal is to find the right treatment for you.

Schedule a consultation with Dr. Richard Bevan-Thomas in Arlington to discuss whether NanoKnife focal therapy is an option for your prostate cancer.

For most men, sterility cannot be safely confirmed for about three months. That timeline is not arbitrary. It reflects how sperm are produced, transported, and naturally cleared from the body.

The three-month timeline makes complete sense once you understand how sperm move through the reproductive system.

Here’s what patients at our Arlington, Texas office, serving men throughout the Dallas–Fort Worth area, need to know about reaching that all-important negative semen analysis.

The Testicles Have Two Jobs

I explain this very simply in the clinic. The testicles have two primary functions:

They produce testosterone. Testosterone dissolves directly into the bloodstream. A vasectomy does not affect testosterone levels, energy, libido, strength, or masculinity.

They produce sperm. Sperm are different. Sperm travel.

After being produced in the testicle, sperm move into the epididymis, where they mature. From there, they enter the vas deferens, a long, narrow tube that carries sperm upward toward the prostate. Near the back of the prostate, sperm mix with fluid from the prostate and seminal vesicles to form semen.

The pathway from the testicle to the prostate is long, and that transport takes time.

What a No-Scalpel Vasectomy Actually Changes

During a no-scalpel vasectomy, we block the vas deferens in the scrotum. That immediately stops new sperm from traveling forward.

However, sperm that were already beyond the blockage, further down the reproductive tract, are still present. Those sperm do not disappear overnight. They must be cleared gradually through ejaculation.

Think of it like closing an entrance ramp to a highway. The cars already on the road still have to exit. A vasectomy closes the entrance. It does not instantly empty the road.

Why It Takes About 3 Months to Achieve a Negative Semen Analysis

To reach a truly negative semen analysis, meaning zero detectable sperm, it takes, on average:

• About 12 weeks
• Approximately 20–30 ejaculations

Clinical data show how this clearance happens over time:

• At 6 weeks: Only a minority of men are sperm-free.
• At 8 weeks: Roughly half have cleared.
• By 12 weeks: The vast majority have no detectable sperm.

This is why national urologic guidelines recommend waiting about three months before performing the final post-vasectomy semen analysis. Testing too early often shows residual sperm—not because the vasectomy failed, but because clearance is still incomplete.

Pregnancy remains possible until semen testing confirms sterility.

In fact, most unintended pregnancies after vasectomy occur because couples stop using contraception too soon. Birth control must continue until you receive confirmation of a negative result.

What Happens to the Sperm Your Body Keeps Producing?

Your testicles continue producing sperm after a vasectomy. Those sperm remain on the testicular side of the blockage and are naturally reabsorbed.

They do not build up.
They do not increase pressure.
They do not affect testosterone levels.

The only change is the pathway sperm take; the transport route is closed. Everything else continues to function normally.

How Do You Know You’re Officially Sterile?

You don’t assume. You confirm.

The only way to verify sterility after a vasectomy is with a semen analysis. At my office in Arlington—serving patients throughout the Dallas–Fort Worth area, we use the Fellow™ mail-in semen analysis kit.

This allows you to collect your sample privately at home and send it to a certified laboratory, using high-resolution digital microscopy to detect even very small amounts of sperm.

It is convenient.
It is highly accurate.
It eliminates the awkwardness of in-office sample collection.

Once your test confirms a negative semen analysis, you are officially sterile. That confirmation is the finish line.

Key Takeaway

• A vasectomy blocks new sperm immediately, but it does not instantly clear sperm already present in the reproductive tract.
• Expect about 3 months and 20–30 ejaculations before full clearance.
• Pregnancy remains possible until semen testing confirms sterility.
• Testosterone, libido, and ejaculation are not affected.
• A negative semen analysis is the only proof that you are sterile.

Ready to Schedule Your Vasectomy in Arlington?

If you are considering a vasectomy in Arlington or anywhere in the Dallas–Fort Worth area, you can schedule your consultation online at DrBevan-Thomas.com.

Dr. Bevan-Thomas has performed no-scalpel vasectomies for over 20 years with excellent results. The procedure typically takes about 10 minutes or less to perform in the office.

Unlike older open techniques that require sutures, the no-scalpel approach uses a small opening, about the size of an eraser head, that routinely heals on its own without stitches in 3-5 days.

For many busy professionals, consultation and vasectomy can often be completed the same day.

When it comes to permanent birth control, the procedure matters—but confirmation matters just as much.

If you are considering a vasectomy in Arlington or anywhere in the Dallas–Fort Worth area, you can schedule your consultation online at DrBevan-Thomas.com.

Many patients are surprised when I tell them:

“Even baby aspirin can delay your surgery.” They know aspirin is over the counter.

They have heard it protects the heart. It feels harmless.

But aspirin is not harmless before surgery.

For patients undergoing robotic prostatectomy, kidney stone procedures, bladder surgery, or other urologic operations, aspirin can meaningfully increase bleeding risk. In some cases, it is enough to postpone a procedure for safety.

Here is why.

Why Aspirin Is So Widely Used

Aspirin is an antiplatelet medication. It reduces the ability of platelets to form clots inside arteries.

For patients with coronary stents, prior heart attack, prior stroke, diabetes, or significant cardiovascular risk factors, aspirin lowers the chance of another major cardiac event. In the right setting, it saves lives.

That is why it is so widely recommended. Even low-dose aspirin at 81 mg daily provides meaningful platelet inhibition.

The same mechanism that protects the heart, however, affects surgery.

How Aspirin Affects Clotting

Aspirin irreversibly inhibits cyclooxygenase-1, the enzyme responsible for platelet activation. Once a platelet is exposed to aspirin, it loses its ability to form an effective clot.

Platelets do not regenerate. Once inhibited, they remain impaired for their entire lifespan, which is approximately 7 to 10 days.

This means that even a single 81 mg tablet can affect clotting for more than a week. From a cardiology standpoint, this reduces arterial clot formation.

From a surgical standpoint, it increases bleeding risk.

Why This Matters in the Operating Room

Every surgical procedure carries some degree of bleeding risk.

Even in minimally invasive robotic surgery, precision depends on a clear operative field. Excess bleeding can obscure visualization, prolong operative time, and increase the likelihood of complications.

Impaired platelet function can contribute to:

• Increased intraoperative bleeding

• Postoperative hematoma formation

• Higher transfusion rates

• Delayed recovery

This applies not only to major operations such as robotic prostatectomy, but also to endoscopic and stone procedures.

For that reason, we routinely review aspirin and other medications before scheduling surgery.

How Long Before Surgery Should Aspirin Be Stopped?

Although aspirin clears the bloodstream quickly, its effect on platelets persists. After stopping aspirin:

• Days 1 through 3: Minimal improvement in platelet function

• Around Day 5: Approximately 50 percent platelet recovery

• Around Day 7: Significant functional recovery

• By Day 10: Near complete restoration of platelet activity

For most patients, we recommend discontinuing aspirin 7 to 10 days before surgery.

The exact timing depends on your medical history and the type of procedure being performed.

Balancing Cardiac Risk and Surgical Safety

Stopping aspirin is not always simple.

Patients with recent coronary stents, prior myocardial infarction, or high cardiovascular risk may not be able to safely discontinue antiplatelet therapy.

In those cases, we coordinate directly with cardiology to determine the safest approach. The objective is not simply to stop medication. The objective is to balance clotting risk and bleeding risk in a way that protects both the heart and the surgical outcome.

There is no one-size-fits-all answer. Each decision is individualized.

A Common Scenario

I have had patients arrive on the morning of surgery unaware that their daily baby aspirin was relevant.

Occasionally, this results in rescheduling. Not because the surgery is unimportant, but because safety comes first.

Clear communication before surgery prevents unnecessary delays and reduces avoidable risk.

What You Should Do Before Surgery

If you are taking aspirin, even low-dose 81 mg, take the following steps:

• Inform your surgeon and anesthesiologist of all medications and supplements

• Do not stop aspirin without speaking to your surgeon or cardiologist

• Be specific about your dose and schedule
  
• Follow the instructions you are given regarding when to stop and when to restart 

Preparation is part of surgical safety.

Final Takeaway

Aspirin is one of the most important medications in modern cardiovascular care. Used appropriately, it reduces heart attack and stroke risk.

Before surgery, however, even low-dose aspirin meaningfully alters clotting.

If you are scheduled for a procedure, review your medications carefully. Inform your surgical team of everything you are taking. Do not assume that a small pill means small impact.

Surgical safety begins with preparation.

Call: 866-367-8768
Location: Urology Partners of North Texas | Arlington, TX
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Watch: Cancer Control & Robotic Surgery on the DocRBT YouTube Channel

By Dr. Richard Bevan-Thomas

This is the final chapter of the DocRBT Essentials series.

In Parts 1 and 2, we focused on erectile recovery and urinary control — the quality-of-life outcomes that matter deeply after prostate cancer surgery.
Today, we get to the reason we are doing this operation in the first place:

Making sure the cancer is truly gone.

As a surgeon practicing in Arlington and across the DFW Metroplex, my philosophy is simple. Quality of life after surgery matters — but none of it matters unless we first do a good cancer operation.

What Cancer Control Really Means

Cancer control after a robotic radical prostatectomy isn’t a single result or lab value. It’s the outcome of a series of decisions made before, during, and after surgery.

When I talk to patients about cancer control, I focus on four questions:

• Did we remove the cancer completely?
  
• Was the cancer confined to the prostate, or had it begun to grow outside of it?
  
• Were the lymph nodes involved?
  
• Does the PSA drop to undetectable and stay there?
  

Each of these helps us understand where things stand and what to expect moving forward.

Why Planning Matters So Much in Prostate Cancer Surgery

Precision during surgery is everything.

Robotic prostate surgery allows us to operate with extraordinary clarity and control. Using the da Vinci system, I work with a high-definition, three-dimensional view at up to 10-times magnification, which allows careful identification of tissue planes, nerves, blood vessels, muscle layers, and areas where anatomy is especially tight.

But that precision only helps if we know where to use it.

This is where prostate cancer surgery becomes a bit of a tightrope walk.

At all times, we are balancing two competing priorities:

• Preserving nerves, fascia, and urethral length to protect quality of life
  
• Minimizing the chance of leaving cancer behind
  

That balance is not guessed at during surgery. It’s planned carefully before we ever enter the operating room.

Why We Can’t Rely on “Seeing” Cancer During Surgery

Patients often ask whether we can actually see prostate cancer during surgery.

The honest answer is: most of the time, we can’t.

Prostate cancer is usually microscopic. It doesn’t behave like a visible mass that can be reliably identified and avoided. While there are occasional moments during surgery where tissue appearance raises concern — and when that happens, we absolutely adjust our approach — those situations are uncommon.

As a whole, prostate cancer is very difficult to visually distinguish from normal tissue during surgery, even with excellent magnification.

That’s why planning matters so much more than reacting in real time.

Why Frozen Sections Are Rarely Used Today

In the past, surgeons sometimes sent tissue to the pathologist during surgery — called a frozen section — to check for cancer at the margins.

In robotic prostatectomy, frozen sections have proven to be unreliable. The tissue samples are small, altered by freezing, and difficult to interpret accurately in the moment. False reassurance or false concern can lead to poor decisions.

Because of this, frozen sections are rarely used in modern robotic prostate surgery.

Instead, the most reliable approach is:

• Careful preoperative planning
  
• Thoughtful intraoperative judgment
  
• And a thorough final pathology report examining the entire prostate
  

This strategy leads to better cancer control and fewer unnecessary trade-offs.

How We Decide Where to Stay Close — and Where to Go Wider

Before surgery, I carefully study your case and ask several key questions:

• Where is the cancer most likely located within the prostate?
  
• Are there areas where it may be close to the capsule?
  
• Are there warning signs that it could be extending beyond the prostate?
  

Those answers come from combining:

• MRI findings
  
• Biopsy grade and cancer volume
  
• PSA level and trends
  
• The pattern and location of positive biopsy cores
  

These don’t give certainty — but they give probability. And in surgery, understanding probability is how we stay balanced on that tightrope.

In some areas, the plan may be to work very close to the prostate to preserve nerves and supporting structures. In other areas, the plan may be to intentionally take more tissue to reduce the risk of leaving cancer behind.

That strategy is determined before the operation begins.

Surgical Margins: The “Orange” Rule

One of the first things patients look for on their final pathology report is the word “negative.”
Specifically, negative surgical margins.

I often explain this with a simple analogy.

Think of the prostate like an orange.

My job is to remove the orange without cutting into the fruit, while still staying as close as possible to protect nearby nerves and muscles.

This is another place where we’re walking that same tightrope. Staying too far away risks unnecessary damage to function. Staying too close risks cutting into cancer.

• Negative margins mean cancer cells do not reach the edge of the removed tissue.
  
• Positive margins mean cancer cells are found at the edge, suggesting microscopic disease may remain.
  

Achieving negative margins isn’t about being aggressive everywhere — it’s about knowing where to stay close and where to step back.

Extraprostatic Extension (EPE): When Cancer Pushes Outside the Prostate

Sometimes prostate cancer grows right up to the capsule and begins to extend beyond it. This is called extraprostatic extension (EPE).

We look for signs of this using:

• MRI
  
• Biopsy grade and volume
  
• PSA trends
  

If EPE is suspected in a specific area, the plan is to remove a wider margin of tissue there. That shifts the balance of the tightrope toward cancer control in that location.

Finding EPE on final pathology does not mean surgery failed. Often, it confirms that taking additional tissue was the right decision.

What the Final Pathology Report Tells Us

After surgery, every patient receives a final pathology report. Unlike a biopsy, this examines the entire prostate under the microscope.

From this report, we learn:

• The true cancer grade
  
• Whether the cancer was confined to the prostate
  
• Whether extraprostatic extension was present
  
• Whether surgical margins were clear
  
• Whether lymph nodes were involved (if removed)
  

For many patients, this report provides clarity and reassurance — turning estimates into definitive answers.

Lymph Nodes: Completing the Cancer Picture

In many cases, we remove pelvic lymph nodes during surgery.

Lymph nodes act as early checkpoints. If prostate cancer spreads, this is often the first place it goes.

• Negative nodes increase confidence that surgery alone is sufficient.
  

Positive nodes don’t mean surgery failed. They give us valuable information and allow early, targeted treatment when appropriate.

PSA: The Proof After Surgery

Because the prostate is the primary source of PSA, once it is removed, the PSA should fall to undetectable levels.

For many men, seeing that first undetectable PSA is when the emotional weight finally starts to lift.

We continue to monitor PSA closely over time. A stable, undetectable PSA is one of the strongest signs of durable cancer control.

If the Cancer Ever Comes Back: We Still Have Options

If PSA begins to rise after surgery, it does not mean we’re out of options.

In many cases, early, targeted radiation therapy can be very effective at controlling recurrence — especially when caught early.

Because the prostate has already been removed:

• PSA is a very sensitive early warning signal
  
• Radiation can be delivered more precisely
  
• Treatment decisions can be made before symptoms develop
  

Surgery doesn’t close doors. It often creates clarity and keeps future options open.

The Bigger Picture

Robotic radical prostatectomy is not just a technical procedure.

It’s a carefully planned balance — a tightrope — between removing cancer thoroughly and preserving the structures that matter for life afterward. When guided by planning, experience, and close follow-up, surgery offers an excellent chance at long-term cancer control and quality of life.

Take the Next Step in Arlington & DFW

If you’ve been diagnosed with prostate cancer, you don’t have to navigate this alone.

Whether you’re in Arlington, Mansfield, Southlake, or anywhere in the DFW Metroplex, let’s review your MRI, biopsy, PSA, and options together and build a plan that prioritizes both cancer control and life after surgery.

Call: 866-367-8768
Location: Urology Partners of North Texas | Arlington, TX
Book Online: Schedule Your Consultation
Watch: Cancer Control & Robotic Surgery on the DocRBT YouTube Channel

Welcome to Part 2 of the DocRBT Essentials series.

In this series, I’m breaking down the three outcomes that matter most to men undergoing robotic surgery for prostate cancer:

• Cancer control
  
• Urinary continence
  
• Erectile function
  

(In Part 1, we discussed erectile recovery. See the full article here: Preserving Erections After Robotic Prostatectomy: The DocRBT Approach)

Important: Radical vs. Simple Prostatectomy

Before we dive in, it’s important to clarify which operation we’re discussing, because recovery expectations are very different.

This guide is specifically for men undergoing a Robotic Radical Prostatectomy for prostate cancer.

Radical Prostatectomy

The entire prostate gland and seminal vesicles are removed to eliminate cancer. Because the prostate sits directly between the bladder and the urethra, this surgery requires a complete reconstruction of the urinary channel.

Simple Prostatectomy

A different procedure used for an enlarged prostate (BPH), where only the inner portion of the prostate is removed to improve urine flow.

Urinary control is a much bigger focus after a radical procedure, which is why surgical technique and recovery planning matter so much.

The Big Question: “Am I Going to Be Incontinent?”

For my patients in Arlington, the DFW Metroplex, and across North Texas, this is often the most pressing concern after a cancer diagnosis.

The short answer is that most men regain urinary control.

How quickly that happens depends on planning, surgical technique, and what you do after surgery.

Overviews

The Goal

Remove the entire cancerous prostate while preserving the structures that allow urinary control to return.

How We Do That

Protect the endopelvic fascia, preserve urethral length, perform a careful reconstruction — and allow the urinary channel to heal with as little irritation as possible.

What to Know Up Front

Early leakage is common. Long-term incontinence is not. Recovery happens in stages, and there are real, proven ways to improve the odds.

Where Urinary Control Really Comes From

Urinary continence is not controlled by a single muscle.

It depends on multiple structures working together, including:

• The bladder neck
  
• The external urinary sphincter
  
• The levator ani muscles
  
• The connective tissue that supports them (called fascia)
  

Fascia is the body’s natural scaffolding.

It’s a thin but strong layer of tissue that surrounds muscles, holds them in position, and allows them to contract together instead of pulling against one another.

In the pelvis, the endopelvic fascia helps anchor the pelvic floor muscles so they function as a coordinated unit. When this support system stays intact, urinary control tends to return faster and more reliably.

What Happens During Surgery That Influences Continence

Just like erectile preservation, continence preservation begins during the operation itself.

One of the most important — and often overlooked — factors is preserving the endopelvic fascia.

Why the Endopelvic Fascia Matters

The endopelvic fascia acts like a supportive hammock for the pelvic floor.

It allows the levator ani muscles to work together, tightening around and supporting the urethra when you cough, stand, or move. When those muscles contract as a unit, urinary control is stronger and more durable.

If this layer is overly disrupted during surgery, the muscles may still be present — but they don’t work together as efficiently. That can slow continence recovery.

Whenever the cancer anatomy allows, preserving this fascia helps maintain pelvic floor support and improves both early and long-term outcomes.

Other Surgical Details That Influence Recover

Bladder Neck Preservation – When it’s safe to do so, preserving the natural bladder neck supports earlier urinary control.

Preserving Urethral Length – The more healthy urethra that remains, the better the sphincter can function.

Gentle Tissue Handling – Limiting traction and avoiding unnecessary heat reduces temporary muscle and nerve dysfunction.

Careful Reconstruction – A tension-free, well-aligned reconnection of the bladder and urethra supports healing and continence.

No single step guarantees immediate dryness, but together these details make a meaningful difference.

What to Expect After Surgery: A Realistic Timeline

Some degree of leakage early on is normal, especially when standing, coughing, or during physical activity.

• Weeks 1–6: Gradual improvement as swelling decreases
  
• 3–6 months: Most men regain good urinary control
  
• Up to 12 months: Continued improvement in endurance and confidence
  

A smaller group takes longer, and a very small percentage may need additional treatment.

Why Pelvic Floor Exercises Only Work If Done Correctly

Pelvic floor exercises (Kegels) aren’t optional busywork — they’re rehabilitation.

In my practice, I give patients specific Kegel exercises to perform four times a day. When done correctly and consistently, they can significantly improve urinary control after surgery.

Kegels aren’t about squeezing as hard as possible. They’re about:

• Activating the correct muscles (imagine gently pulling the scrotum toward the belly button)
  
• Holding for the right amount of time
  
• Fully relaxing between contractions
  
• Repeating the pattern consistently
  

When done incorrectly or inconsistently, improvement is often slow at best.

The “Rule of 2s”: Simple Habits That Help Recovery

Once the urinary channel has begun to heal, bladder habits matter.

I recommend what I call the Rule of 2s:

• Try to urinate every two hours during the daytime
  
• Avoid drinking fluids within two hours of going to bed
  

This prevents the bladder from becoming overly full and reduces pressure on the healing urinary channel. Avoiding late fluids also improves sleep, which plays a real role in recovery.

Why I Use a Suprapubic Tube Instead of a Urethral Catheter

After robotic radical prostatectomy, the connection between the bladder and urethra needs time to heal.

Most surgeons use a urethral catheter (through the penis). I almost always use a suprapubic (SP) tube, which drains the bladder through a small opening in the lower abdomen.

This approach offers several advantages:

• Comfort: No one wants a plastic tube in their penis for a week
  
• Rest: The urethra can heal without constant irritation
  
• A “voiding trial”: We can safely test urination without re-inserting a catheter
  

Many patients find this approach far more tolerable during early recovery.

If Leakage Persists

If leakage continues beyond the typical recovery window, there are effective options, including pelvic floor therapy, medications, minimally invasive treatments, and surgical solutions when appropriate.

Persistent incontinence is treatable, and it’s addressed step by step.

The Bigger Picture

Robotic radical prostatectomy isn’t just about removing cancer.

It’s about preserving anatomy so the body can recover function. When the pelvic floor muscles and their supporting fascia are respected during surgery — and rehabilitation is done correctly — most men regain urinary control over time.

Take the Next Step in Arlington & DFW

If you’ve been diagnosed with prostate cancer, schedule a consultation so we can talk honestly about your recovery and create the right plan for you.

Call: 866-367-8768
Location: Urology Partners of North Texas | Arlington, TX
Book Online: Schedule Your Consultation
Watch: Continence Recovery After Prostate Surgery on the DocRBT YouTube Channel

Over the next three articles, I’ll walk through the three outcomes that matter most to men undergoing robotic prostatectomy for prostate cancer:

• Cancer control
  
• Urinary continence
  
• Erectile function
  

Today, we start with the most common concern I hear in my Arlington office

“How do we remove the cancer and still preserve my erections?”

The answer isn’t luck. It comes down to planning ahead, careful technique, and patience during recovery.

Overview

The Goal
Remove the cancer completely while protecting the delicate nerves responsible for erections.

How We Do That
A personalized surgical plan built from PSA trends, imaging, and biopsy pathology, tailored to your cancer and your anatomy.

What’s Different About My Approach

• No heat near the nerves whenever possible
  
• Absorbable clips instead of permanent metal
  
  

What to Know Up Front

If pills or pumps aren’t enough early on, that doesn’t mean recovery has failed. We have reliable next steps, including injection therapy, to keep things moving while healing continues.

How We Plan Before Surgery

Preserving erectile function starts well before the day of surgery.

To plan safely, we look at several pieces of information together:

• PSA level and how it has changed over time
  
• Multiparametric prostate MRI
  
• Biopsy pathology (grade and volume of cancer)
  
• PSMA PET imaging, when appropriate
  

Each tells us something different.

• PSA helps estimate overall cancer burden and behavior.
  
• MRI shows where cancer appears to be located and whether it looks contained.
  
• Biopsy results tell us how aggressive the cancer is and how much of it is present.
  
• PSMA PET scans, when used, can reveal disease extending beyond the prostate or involving lymph nodes.
  

No single test gives the full picture. But when we put them together, they help us decide how close we can safely work to the prostate and how much nerve tissue we can reasonably preserve.

Robotic surgery allows careful execution — but the most important thinking happens before we ever step into the operating room.

How Close We Work to the Prostate — And Why That Matters

The erection nerves don’t exist in a single layer. They are arranged in multiple thin layers along the outside of the prostate, with some fibers right against the capsule and others sitting farther away.

I often explain this using layers of wallpaper on a wall.

Nerve-sparing during robotic prostatectomy isn’t all-or-nothing. The real decision is how close we can safely work to the prostate while minimizing the chance of leaving cancer behind.

One important reality is that we usually can’t see prostate cancer directly during surgery. Because of that, we have to make an educated decision ahead of time based on PSA behavior, imaging findings, and biopsy results.

Cancer can extend outside the prostate capsule, especially when:

• PSA is higher or rising quickly
  
• The cancer is higher grade
  
• There is a larger volume of disease
  
• MRI or PSMA PET findings are concerning
  

In those situations, we may intentionally go wider, removing more layers of “wallpaper” along with the prostate to reduce the risk of leaving cancer behind.

When PSA is lower, the cancer is lower grade and lower volume, and imaging suggests the disease is well contained, we may be able to work closer to the prostate, leaving more nerve layers behind.

The more nerve layers we can safely preserve, the better the chance erections return sooner and more completely. The balance is always between curing the cancer and preserving function.

Which layer we choose depends on PSA, MRI findings, biopsy results, and cancer grade and volume. This is why nerve-sparing decisions are individualized, not formula-based.

Why I Avoid Heat Near the Nerves

The nerves responsible for erections are extremely sensitive.

Many surgeries use electrical cautery to control bleeding. The issue is that heat spreads, and even small amounts of thermal injury can affect nerve recovery.

Whenever possible, I rely on athermal techniques:

• Cold dissection using robotic scissors
  
• Absorbable clips instead of permanent metal
  

This approach is slower and more deliberate, but it reduces unnecessary nerve trauma.

Going Home the Same Day

Most of my robotic prostatectomy patients go home the same day.

Being in your own bed, eating familiar food, and moving early improves circulation, recovery, and overall comfort.

You’re not stuck in a hospital room — you’re already moving forward.

Helping the Nerves Recover

Even with excellent nerve-sparing, the nerves often go into a temporary shutdown, called neuropraxia.

Think of it like a limb in a cast. Without use, tissue weakens.

That’s why we start penile rehabilitation early:

Daily Cialis
Supports ongoing blood flow and tissue oxygenation.

Vacuum Erection Device (VED)
Essentially physical therapy for the penis, helping prevent scarring.

Injection Therapy
If pills or the pump aren’t enough, injections bypass the nerves entirely and are very effective during recovery.

A Reality Check on Timing

Surgery won’t improve erections beyond your baseline going in. The goal is to protect what you already have.

Nerves heal slowly. Improvement often continues well beyond the first year, sometimes up to four years after surgery.

Consistency matters. Patience matters.

Looking Beyond the Operation

Robotic prostatectomy isn’t a one-day event.

It’s a process that starts with careful planning and continues through rehabilitation and follow-up. Adjusting therapy when needed and staying engaged over time makes a real difference in outcomes.

Take the Next Step

If you or a loved one has recently been diagnosed with prostate cancer, schedule a consultation so we can review PSA trends, imaging, and biopsy results together and build a thoughtful plan focused on recovery during and after surgery.

Call: 866-367-8768
Book Online: Schedule Your Consultation
Watch: Erectile Recovery Explained on the DocRBT YouTube Channel

Kidney stones are one of the most painful urinary conditions, affecting both men and women. Fortunately, simple lifestyle and dietary changes can greatly reduce your risk.

Common Causes

• Dehydration
• High salt or protein intake
• Excessive consumption of oxalate-rich foods (like spinach, nuts, and tea)
• Family history of stones

Prevention Tips

• Drink at least 2–3 liters of water daily
• Limit sodium and red meat
• Increase citrus intake (lemon water helps prevent crystal formation)
• Stay active and maintain a healthy body weight

Early Warning Signs

• Sharp pain in the lower back or abdomen
• Blood in the urine
• Frequent or painful urination

Conclusion

Kidney stones are preventable. By maintaining good hydration, balanced nutrition, and regular medical check-ups, you can protect your kidneys and avoid unnecessary pain.

Benign Prostatic Hyperplasia (BPH), or prostate enlargement, affects millions of men over 50. It can make urination difficult and disrupt sleep and quality of life. Fortunately, newer technologies like UroLift and Aquablation offer lasting relief without major surgery.

What Is BPH?

BPH occurs when the prostate enlarges and presses against the urethra, restricting urine flow. Symptoms include frequent urination, weak stream, and incomplete emptying.

Modern Treatment Options

• UroLift System: Uses tiny implants to hold the enlarged prostate tissue away from the urethra, restoring natural flow.
• Aquablation Therapy: Utilises water-jet precision guided by robotics and ultrasound to remove excess tissue safely and effectively.

Why Choose Minimally Invasive Treatments

• Shorter recovery time
• Reduced risk of side effects such as erectile dysfunction
• No need for long-term medication

Conclusion

UroLift and Aquablation are redefining how we treat BPH—offering men faster recovery, better comfort, and long-term results.