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Treatment algorithm for management of benign prostatic obstruction : an overview of current techniques
Harper, Philip
Harper, Philip
Abstract
The management of benign prostatic obstruction (BPO) should involve a treatment algorithm that takes into account prostate size, and patient's symptoms and preference with the aim of helping with urinary symptoms and enhance quality of life. The diagnostic assessment for men with lower urinary tract symptoms (LUTS) should be comprehensive to help choose the best management strategy. Strategies from lifestyle modifications to medical treatment with alpha blockers and/or 5-alpha-reductase inhibitors to surgical procedures can all be used in the management algorithm. Surgical management ranges from transurethral resection of prostate (TURP) to minimally invasive surgical therapies (MIST) including laser therapies such as Holmium laser enucleation (HoLEP) and photoselective vaporisation (PVP), aquablation, Rezūm system, prostate artery embolisation (PAE), prostatic urethral lift (PUL), temporary implantable nitinol device (iTind) and Optilume BPH catheter system. BPO is a common urological condition that has a significant impact on quality of life and economic burden globally and is likely to become increasingly prevalent with an ageing population. Selecting the most appropriate treatment modality will depend on the individual patient preferences, availability of resources, cost, anatomical factors and the goals of treatment.
Keywords: BPH; MIST; PAE; Rezūm; Urolift; laser; prostate.
MIDER Authors
Date
2023-10-18
Type
Article
Subject
Urology
Collections
Citation
Hughes T, Harper P, Somani BK. Treatment Algorithm for Management of Benign Prostatic Obstruction: An Overview of Current Techniques. Life (Basel). 2023 Oct 18;13(10):2077. doi: 10.3390/life13102077.
Journal / Source Title
Life
DOI
10.3390/life13102077
PMID
37895457
Publisher
MDPI
Publisher’s URL
https://pmc.ncbi.nlm.nih.gov/articles/PMC10608556/