Benign Prostatic Hyperplasia (BPH)

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Focused ultrasound treatment for the prostate is now available in the United States. Three systems for destroying diseased prostate tissue are now approved by the Food and Drug Administration.

Focused Ultrasound Therapy

Focused ultrasound is a rapidly evolving, noninvasive, therapeutic technology with the potential to improve the quality of life and decrease the cost of care for patients with BPH. This novel technology focuses beams of ultrasound energy precisely and accurately on targets in the body without damaging surrounding normal tissue.

How it Works
Where the beams converge, focused ultrasound produces precise ablation (thermal destruction of tissue) enabling BPH to be treated without surgery.

Advantages
The primary options for treatment of BPH include medication and invasive surgery.

For certain patients, focused ultrasound could provide a noninvasive alternative to surgery with less risk of complications – such as surgical wound healing or infection – at a lower cost. It can reach the desired target without damaging surrounding tissue and is repeatable, if necessary.

Clinical Trials

clinical trial has opened in France for focused ultrasound treatment of BPH.

A clinical trial has opened in Finland for a variety of prostate disease.

See a full list of BPH clinical trials > 

See a list of treatment sites >
See a list of clinical trials sites >
See a list of laboratory research sites >

Regulatory Approval and Reimbursement

There are two focused ultrasound systems approved in the US for the ablation (destruction) of prostate tissue: SonaCare Medical and EDAP-TMS. Both of these use the transrectal approach with ultrasound guidance. Insightec’s device uses a transrectal approach guided by MRI. A transurethral approach is manufactured by Profound Medical, and is approved in Europe and in the US.

Treatment for BPH is approved in the US, Canada, China, Europe, India, Japan, Korea, Middle East, Russia, and South America. Insurance coverage varies, and many US companies may not cover this procedure.

Notable Papers

Aoun F, Marcelis Q, Roumeguère T. Minimally invasive devices for treating lower urinary tract symptoms in benign prostate hyperplasia: technology update. Res Rep Urol. 2015 Aug 19;7:125-36. doi: 10.2147/RRU.S55340. eCollection 2015.

Khokhlova VA, Fowlkes JB, Roberts WW, Schade GR, Xu Z, Khokhlova TD, Hall TL, Maxwell AD, Wang YN, Cain CA. Histotripsy methods in mechanical disintegration of tissue: towards clinical applications. Int J Hyperthermia. 2015 Mar;31(2):145-62. doi: 10.3109/02656736.2015.1007538. Epub 2015 Feb 24.

Thiruchelvam N. Surgical therapy for benign prostatic hypertrophy/bladder outflow obstruction. Indian J Urol. 2014 Apr;30(2):202-7. doi: 10.4103/0970-1591.126907.

Roberts WW. Development and translation of histotripsy: current status and future directions. Curr Opin Urol. 2014 Jan;24.

Sullivan L, Casey RW, Pommerville PJ, Marich KW. Canadian experience with high intensity focused ultrasound for the treatment of BPH. Can J Urol. 1999 Jun;6(3):799-805.

Click here for additional references from PubMed

FDA Approved
International Approval
Clinical Trials