What You Need to Know About Transurethral Needle Ablation (TUNA)

Transurethral Needle Ablation (TUNA) is a minimally invasive procedure primarily used to treat benign prostatic hyperplasia (BPH), a condition characterized by an enlarged prostate. This common condition affects many men as they age, leading to various urinary symptoms. Understanding TUNA is essential for those considering treatment for BPH.

The TUNA procedure utilizes radiofrequency energy delivered through thin needles inserted directly into the prostate tissue. This energy heats targeted areas of the prostate, resulting in tissue ablation that reduces the size of the prostate and alleviates pressure on the urethra. This can substantially improve urinary flow and reduce associated symptoms.

Benefits of TUNA

One of the main advantages of TUNA is its minimally invasive nature. Unlike traditional surgical methods, TUNA requires no large incisions, which means less pain, shorter recovery times, and a reduced risk of complications. Most patients can return to their regular activities within a day or two.

Additionally, TUNA can be performed on an outpatient basis. This allows patients to go home the same day without the need for extended hospital stays. Furthermore, the procedure typically preserves erectile function, making it a viable option for men concerned about the side effects associated with more invasive surgeries.

Who is a Candidate for TUNA?

Candidates for TUNA are generally men suffering from moderate to severe BPH symptoms that do not respond adequately to medication. It is essential for patients to discuss their symptoms and overall health with their healthcare provider to determine if TUNA is the right choice for them. Factors such as prostate size, age, and the presence of other medical conditions can influence the suitability of this procedure.

The TUNA Procedure

The TUNA procedure typically lasts about 30 to 60 minutes and is usually done under local anesthesia or conscious sedation. During the procedure, a thin tube called a cystoscope is inserted into the urethra, allowing the physician to visualize the prostate. The radiofrequency needles are then deployed into the prostate tissue to deliver targeted energy for ablation.

Patients may experience mild discomfort during the procedure, but significant pain is uncommon. Post-procedure, a Foley catheter may be placed temporarily to help with urine drainage.

Recovery and Aftercare

Recovery from TUNA is generally swift. Most patients can resume normal activities shortly after the procedure. However, some side effects such as urinary urgency, frequency, or mild discomfort may occur in the days following treatment. These symptoms typically improve over time as the prostate heals.

It’s essential to follow the healthcare provider's aftercare instructions, which may include drinking plenty of fluids, avoiding strenuous activities, and monitoring for any unusual symptoms. Follow-up appointments will be scheduled to assess recovery and the effectiveness of the treatment.

Conclusion

Transurethral Needle Ablation (TUNA) represents a promising treatment option for men dealing with the discomfort and challenges of BPH. With its minimally invasive approach and quick recovery time, TUNA can significantly enhance the quality of life for men suffering from prostate-related urinary issues. As with any medical procedure, a thorough discussion with a healthcare provider can help determine whether TUNA is the best option for individual circumstances.