Loops, Lasers, Robots, Staples, and Steam: What to Offer for BPH Today and Tomorrow?

Posted by Ricardo R. Gonzalez, MD | Jan 2024

Ricardo R. Gonzalez, MD, presented “Loops, Lasers, Robots, Staples, and Steam: What to Offer for BPH Today and Tomorrow?” at the 11th Urology Today conference on October 27, 2023.

How to cite: Gonzalez, Ricardo R. “Loops, Lasers, Robots, Staples, and Steam: What to Offer for BPH Today and Tomorrow?” October 2023. Accessed May 2024. https://grandroundsinurology.com/loops-lasers-robots-staples-and-steam-what-to-offer-for-bph-today-and-tomorrow/

Loops, Lasers, Robots, Staples, and Steam: What to Offer for BPH Today and Tomorrow? – Summary

Ricardo R. Gonzalez, MD, presents current and emerging novel treatment options for benign prostatic hyperplasia (BPH). He begins by establishing appropriate categorization of Minimally Invasive Surgical Therapies (MIST) versus Surgical (OR) treatment options for BPH, and the patient criteria for each.

Dr. Gonzalez then presents current FDA-approved MIST options for BPH, including steam-based treatments, devices, and implant options, and FDA-approved OR options, including water-based ablation treatments. He then presents patient examples of the presented treatment options, discussing the pros and cons of each option for the patient.

Dr. Gonzalez then discusses emerging treatment options for BPH which have not yet been approved by the FDA. He discusses nitinol prostate stents as an emerging MIST option, and laparoscopic shunting to decrease testosterone around the prostate as an emerging OR option.

About The 11th Urology Today Conference:

Presented by chair Ryan P. Terlecki, MD, FACS, the 11th Urology Today conference was designed to keep urologists, urologic oncologists, and other healthcare providers educated on the most pertinent issues in urology practices. Areas of focus included urologic oncology, men’s health and reconstruction, female urology, pediatric urology, kidney stones and related conditions, and methods of providing the best care amidst the required logistics of the business side of medicine.

For further educational activities from this conference, visit our collection page.

About The Author

Ricardo R. Gonzalez, MD

Ricardo R. Gonzalez, MD, in an Associate Professor of Clinical Urology and Program Director of the FPMRS Fellowship at the Houston Methodist Hospital Academic Institute in Houston, Texas. He is an internationally-recognized expert in minimally-invasive treatments for voiding dysfunction. For men, he is an expert in surgical therapies for BPH, including GreenLight laser vaporization of the prostate, enucleation (HoLEP and GreenLEP), Rezum, Urolift, Aquablation and others. He currently holds a Center of Excellence Certification for both GreenLight and Rezum. He has been invited to teach laser surgery throughout the U.S. and in 17 foreign countries. His research includes the development and evaluation of minimally invasive treatments that improve voiding function in men while preserving sexual function. His focus also encompasses the evaluation and management in urinary incontinence and pelvic floor reconstruction and functional restoration in women. His goal is to provide state-of-the-art urologic care to improve patients’ quality of life, especially with urinary and sexual quality of life. Dr. Gonzalez was the former Medical Director for the Centers for Voiding Dysfunction and Clinical Research at Houston Metro Urology. He has joined the full-time academic faculty at Houston Methodist Hospital with faculty affiliations at Weil Cornell and Baylor College of Medicine. He is a graduate of Stanford University School of Medicine and completed his residency and fellowship at Cornell in New York City. He currently practices urology with a focus on voiding dysfunction and pelvic restorative medicine reconstructive surgery in The Texas Medical Center in Houston, TX. He is a diplomate of the American Board of Urology (ABU) and has earned board subspecialty certification in female pelvic medicine and reconstructive surgery (FPMRS).

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