Q: What is TUNA  therapy?
A: Transurethral Needle Ablation (TUNA) is a non-surgical treatment that delivers radio frequency (RF) to the enlarged prostate tissue. This energy destroys the prostate tissue, which may improve the symptoms of BPH.


Q: What can I expect on the day of the procedure?
A: After you have reviewed the procedure with your physician, you will be asked to sign a treatment consent form that describes the procedure, benefits, risks and expectations. You will have a numbing jelly placed into your urethra to anesthetize it. An IV will be started and a Certified Registered Nurse Anesthetist will administer conscious sedation anesthesia. Your physician will then insert the appropriate device through the urethra directly into the prostate.

The procedure generally takes thirty minutes with some additional preparation time prior. The doctor will send you home with a catheter (a small tube attached to a urine collection bag.) A catheter is needed for only about 40% of the patients for the next few days. Usually, there is minimal discomfort after the procedure, and this pain can be relieved with over the counter pain medicines.

You should relax and take it easy when you get home. Most patients are able to return to normal activities within 24-48 hours.


Q: What are the side effects associated with TUNA therapy?
A: Some possible side effects include obstruction, bleeding, pain/discomfort, urinary urgency and frequency, retrograde ejaculation, and urinary tract infection.


Q: What are the benefits of TUNA therapy?
A: The TUNA therapy can improve overall quality of life by relieving symptoms associated with BPH. These therapies are associated with few side effects and adverse events. A few cases of sexual dysfunction have been reported. The TUNA and TUMT therapies are performed in the office with less than forty-five minutes of additional prep time prior to the procedure; a hospital stay is generally not required. Patients generally return to most normal activities within 24-48 hours.


Q: How soon can I return to work?
A: Patients usually return to many of their normal activities within 24-48 hours of the procedure. Be sure to follow your physician's instructions regarding when you can return to work and other activities.


How soon can I expect my BPH symptoms to go away?
Most patients will usually notice improvement within 4-6 weeks. However, results may vary depending on the severity, duration and size of the prostate treated. Maximum benefit is noted at 3 months.


Q: Does the TUNA procedures hurt?
A: Some post-procedural pain may usually be relieved with over the counter pain medications.