Benign prostatic hyperplasia (BPH) treatment in 812 Oncology and Vascular surgery clinics worldwide

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812 clinics specializing in Oncology and Vascular surgery providing treatment of Benign prostatic hyperplasia (BPH) Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland commonly seen in aging men. It can cause urinary symptoms like frequent urination, weak stream, and may require medication or surgery for management.
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disease worldwide.

Africa · 11
Americas · 160
Asia · 245
Europe · 360
Oceania · 36
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Africa · 11 Americas · 160 Asia · 245 Europe · 360 Oceania · 36
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Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $15,167
  2. Radical prostatectomy
    ≈ $17,098
  3. Transurethral incision of the prostate (TUIP)
    ≈ $9,305
  4. Transurethral resection of the prostate (TURP)
    ≈ $12,473
  5. Robot-assisted radical prostatectomy
    $19,713 - $24,970
  6. Carotid endarterectomy (CEA)
    ≈ $20,479
  7. Foam sclerotherapy (Unilateral)
    $4,819
  8. Peripheral artery angioplasty and stent placement
    ≈ $19,039
  9. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $69,521
photo
Seoul, South Korea
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology, Dentistry
The hospital is fully devoted to elevating its medical service quality by introducing state-of-the-art equipment and systems such as Robot surgery, Linear Accelerator, 3.0T MRI, read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $533
  2. Radical prostatectomy
    ≈ $604
  3. Transurethral incision of the prostate (TUIP)
    ≈ $1,196
  4. Transurethral resection of the prostate (TURP)
    $1,209
  5. Carotid endarterectomy (CEA)
    $3,385
  6. Foam sclerotherapy (Unilateral)
    ≈ $295
  7. Peripheral artery angioplasty and stent placement
    $2,659
  8. Arteriovenous (AV) fistula surgery
    $338 - $508
  9. Endovascular thrombectomy
    $967
photo
Almaty, Kazakhstan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology, Dentistry
Languages: English, Russian
At the Almaty SEMA Hospital Clinic, you can get a full range of medical services provided by our leading specialists. Whether you need a small read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $2,590
  2. Radical prostatectomy
    ≈ $669
  3. Transurethral incision of the prostate (TUIP)
    ≈ $1,261
  4. Transurethral resection of the prostate (TURP)
    ≈ $2,160
  5. Foam sclerotherapy (Unilateral)
    ≈ $347
  6. Peripheral artery angioplasty and stent placement
    ≈ $2,824
  7. Arteriovenous (AV) fistula surgery
    ≈ $1,138
  8. Endovascular thrombectomy
    ≈ $2,157
  9. Uterine artery embolization (UAE)
    ≈ $2,299
photo
Lajeado, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Orthopedic surgery, Oncology
Bruno Born Hospital is a philanthropic institution, with more than 80 years. It is registered with the National, State and Municipal Councils of Social Assistance read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $2,590
  2. Radical prostatectomy
    ≈ $669
  3. Transurethral incision of the prostate (TUIP)
    ≈ $1,261
  4. Transurethral resection of the prostate (TURP)
    ≈ $2,160
  5. Carotid endarterectomy (CEA)
    ≈ $2,834
  6. Peripheral artery angioplasty and stent placement
    ≈ $2,824
  7. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $9,155
  8. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $8,910
  9. Arteriovenous (AV) fistula surgery
    ≈ $1,138
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​ Hospital São Camilo Pompeia has followed, over the years, the growth of the population and the scientific and technological advances aimed at medical and read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $2,590
  2. Radical prostatectomy
    ≈ $669
  3. Transurethral incision of the prostate (TUIP)
    ≈ $1,261
  4. Transurethral resection of the prostate (TURP)
    ≈ $2,160
  5. Carotid endarterectomy (CEA)
    ≈ $2,834
  6. Foam sclerotherapy (Unilateral)
    ≈ $347
  7. Peripheral artery angioplasty and stent placement
    ≈ $2,824
  8. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $9,155
  9. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $8,910
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Integrated into the São Camilo de São Paulo Hospitals Network in March 1979, the Santana Unit has an agile and modern structure implemented to offer read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $2,590
  2. Carotid endarterectomy (CEA)
    ≈ $2,834
  3. Peripheral artery angioplasty and stent placement
    ≈ $2,824
  4. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $9,155
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $8,910
  6. Arteriovenous (AV) fistula surgery
    ≈ $1,138
  7. Endovascular thrombectomy
    ≈ $2,157
  8. Carotid angioplasty and stenting
    ≈ $3,771
  9. Uterine artery embolization (UAE)
    ≈ $2,299
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
A member of the Network since 2000, Hospital São Camilo Ipiranga has an emergency room for patients aged 12 years and over, an Intensive Care read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $2,590
  2. Radical prostatectomy
    ≈ $669
  3. Transurethral incision of the prostate (TUIP)
    ≈ $1,261
  4. Transurethral resection of the prostate (TURP)
    ≈ $2,160
  5. Foam sclerotherapy (Unilateral)
    ≈ $347
  6. Peripheral artery angioplasty and stent placement
    ≈ $2,824
  7. Arteriovenous (AV) fistula surgery
    ≈ $1,138
  8. Endovascular thrombectomy
    ≈ $2,157
  9. Uterine artery embolization (UAE)
    ≈ $2,299
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Founded in 1968, the Mooca unit is known for being a highly complex Oncological Treatment Center and for having a renowned Clinical Research Center. In read more
Prices for popular procedures:
  1. Radical prostatectomy
    ≈ $669
  2. Transurethral incision of the prostate (TUIP)
    ≈ $1,261
  3. Transurethral resection of the prostate (TURP)
    ≈ $2,160
  4. Foam sclerotherapy (Unilateral)
    ≈ $347
  5. Peripheral artery angioplasty and stent placement
    ≈ $2,824
  6. Arteriovenous (AV) fistula surgery
    ≈ $1,138
  7. Endovascular thrombectomy
    ≈ $2,157
  8. Varicose veins treatment
    ≈ $2,452
  9. Radiofrequency ablation (RFA) for varicose veins (Unilateral)
    ≈ $1,234
photo
Rio de Janeiro, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Quinta D'Or Hospital opened in September 2001 and is located opposite Quinta da Boa Vista, in Rio de Janeiro. It emerged from the renovation read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $2,590
  2. Carotid endarterectomy (CEA)
    ≈ $2,834
  3. Peripheral artery angioplasty and stent placement
    ≈ $2,824
  4. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $9,155
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $8,910
  6. Arteriovenous (AV) fistula surgery
    ≈ $1,138
  7. Endovascular thrombectomy
    ≈ $2,157
  8. Carotid angioplasty and stenting
    ≈ $3,771
  9. Uterine artery embolization (UAE)
    ≈ $2,299
photo
Belo Horizonte, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Lifecenter Hospital stands out among the most sophisticated and renowned health institutions in Minas Gerais. Its activities cover urgent and emergency medical care, surgeries, read more
Prices for popular procedures:
  1. Radical prostatectomy
    ≈ $669
  2. Transurethral incision of the prostate (TUIP)
    ≈ $1,261
  3. Transurethral resection of the prostate (TURP)
    ≈ $2,160
  4. Hemicolectomy
    ≈ $3,327
  5. Rectum anterior resection
    ≈ $3,190
  6. Conization
    ≈ $691
  7. Open hysterectomy
    ≈ $2,028
  8. Radical nephrectomy
    ≈ $4,577
  9. Loop electrosurgical excision procedure (LEEP)
    ≈ $417
photo
Salvador, Brazil
Specializations: Vascular surgery, Thoracic surgery, Neurosurgery, Oncology
Founded 30 years ago, the Oncology Nucleus of Bahia (NOB) joined the Oncoclínicas Group in 2014. The clinic offers comprehensive and individualized care to cancer read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $5,609
  2. Radical prostatectomy
    ≈ $8,687
  3. Transurethral incision of the prostate (TUIP)
    ≈ $2,245
  4. Transurethral resection of the prostate (TURP)
    ≈ $4,266
  5. Carotid endarterectomy (CEA)
    ≈ $5,057
  6. Foam sclerotherapy (Unilateral)
    ≈ $728
  7. Peripheral artery angioplasty and stent placement
    ≈ $5,524
  8. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,220
  9. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,826
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
We invite you to visit one of the largest health institutions in the country… A sanatorium with history, but looking to the future. The Doctor read more
Prices for popular procedures:
  1. Radical prostatectomy
    ≈ $8,687
  2. Transurethral incision of the prostate (TUIP)
    ≈ $2,245
  3. Transurethral resection of the prostate (TURP)
    ≈ $4,266
  4. Foam sclerotherapy (Unilateral)
    ≈ $728
  5. Peripheral artery angioplasty and stent placement
    ≈ $5,524
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,220
  7. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,826
  8. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  9. Endovascular thrombectomy
    ≈ $3,688
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The British Hospital of Buenos Aires is a non-profit civil association that aims to provide the community with highly complex health care, train medical professionals read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $2,590
  2. Radical prostatectomy
    ≈ $669
  3. Transurethral incision of the prostate (TUIP)
    ≈ $1,261
  4. Transurethral resection of the prostate (TURP)
    ≈ $2,160
  5. Carotid endarterectomy (CEA)
    ≈ $2,834
  6. Peripheral artery angioplasty and stent placement
    ≈ $2,824
  7. Carotid angioplasty and stenting
    ≈ $3,771
  8. Uterine artery embolization (UAE)
    ≈ $2,299
  9. Inferior vena cava (IVC) filter placement
    ≈ $1,797
photo
Serra, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Orthopedic surgery, Oncology
Founded in 2001, Vitória Apart Hospital is a center of excellence in high complexity medicine in Espírito Santo, prepared to take care of people's health read more
Prices for popular procedures:
  1. Radical prostatectomy
    ≈ $8,687
  2. Transurethral incision of the prostate (TUIP)
    ≈ $2,245
  3. Transurethral resection of the prostate (TURP)
    ≈ $4,266
  4. Carotid endarterectomy (CEA)
    ≈ $5,057
  5. Foam sclerotherapy (Unilateral)
    ≈ $728
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,220
  7. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,826
  8. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  9. Endovascular thrombectomy
    ≈ $3,688
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Hospital de Clínicas José de San Martín is the flagship teaching hospital in our country. Dependent on the University of Buenos Aires, read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $5,609
  2. Peripheral artery angioplasty and stent placement
    ≈ $5,524
  3. Uterine artery embolization (UAE)
    ≈ $3,560
  4. Inferior vena cava (IVC) filter placement
    ≈ $2,965
  5. Renal artery angioplasty and stenting
    ≈ $3,577
  6. Aortobifemoral stent grafting
    ≈ $6,861
  7. Renal arteries embolization (RAE)
    ≈ $4,101
  8. Carotid angiography
    ≈ $1,066
  9. Catheter embolization
    ≈ $3,272
photo
Posadas, Argentina
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Orthopedic surgery, Oncology
The Health Park of the Province of Misiones "Dr. Ramón Madariaga" was created through Law XVII Nº70, approved by the majority of the legislative body read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $5,609
  2. Peripheral artery angioplasty and stent placement
    ≈ $5,524
  3. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,220
  4. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,826
  5. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  6. Endovascular thrombectomy
    ≈ $3,688
  7. Uterine artery embolization (UAE)
    ≈ $3,560
  8. Renal artery angioplasty and stenting
    ≈ $3,577
  9. Complex aortic surgery
    ≈ $43,724
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Orthopedic surgery
Inaugurated on March 1, 1991, the Suizo Argentina Clinic and Maternity began its history with a revolutionary vision in the concept of care and comfort read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $5,609
  2. Carotid endarterectomy (CEA)
    ≈ $5,057
  3. Foam sclerotherapy (Unilateral)
    ≈ $728
  4. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,220
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,826
  6. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  7. Endovascular thrombectomy
    ≈ $3,688
  8. Carotid angioplasty and stenting
    ≈ $6,201
  9. Uterine artery embolization (UAE)
    ≈ $3,560
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Orthopedic surgery, Oncology
The Revista del Hospital El Cruce (ISSN: 2524-9932), in its abbreviated name Rev Hosp El Cruce, is a scientific and continuous periodical publication of the read more
Prices for popular procedures:
  1. Radical prostatectomy
    ≈ $8,687
  2. Transurethral incision of the prostate (TUIP)
    ≈ $2,245
  3. Transurethral resection of the prostate (TURP)
    ≈ $4,266
  4. Foam sclerotherapy (Unilateral)
    ≈ $728
  5. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  6. Endovascular thrombectomy
    ≈ $3,688
  7. Varicose veins treatment
    ≈ $4,588
  8. Radiofrequency ablation (RFA) for varicose veins (Unilateral)
    ≈ $1,759
  9. Endovenous laser ablation (EVLA) for varicose vein (Unilateral)
    ≈ $2,335
photo
Rosario, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
More than 100 years ago, on June 24, 1912, the Spanish Hospital was inaugurated in Rosario, driven by the demand for health care from Spanish read more
Prices for popular procedures:
  1. Radical prostatectomy
    ≈ $8,687
  2. Transurethral incision of the prostate (TUIP)
    ≈ $2,245
  3. Transurethral resection of the prostate (TURP)
    ≈ $4,266
  4. Carotid endarterectomy (CEA)
    ≈ $5,057
  5. Foam sclerotherapy (Unilateral)
    ≈ $728
  6. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,220
  7. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,826
  8. Arteriovenous (AV) fistula surgery
    ≈ $2,082
  9. Endovascular thrombectomy
    ≈ $3,688
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Pueyrredon Private Clinic was born in response to the need of Mar del Plata doctors who worked at that time as professionals in mutual read more
Prices for popular procedures:
  1. Prostatic artery embolization (PAE)
    ≈ $5,609
  2. Radical prostatectomy
    ≈ $8,687
  3. Transurethral incision of the prostate (TUIP)
    ≈ $2,245
  4. Transurethral resection of the prostate (TURP)
    ≈ $4,266
  5. Carotid endarterectomy (CEA)
    ≈ $5,057
  6. Foam sclerotherapy (Unilateral)
    ≈ $728
  7. Peripheral artery angioplasty and stent placement
    ≈ $5,524
  8. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,220
  9. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,826
photo
Córdoba, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
We are a benchmark health care network in Argentina and we are committed to offering the world excellent medicine. Our Hospital is among the main read more

Clinics grouping by rating

Clinic with the highest rating of 5 — Berkana clinic in Moscow, Russia and 4 more, clinic with the most reviews number of 35757 — Aster CMI hospital in Bengaluru, India.

With rating 4.0 and over — 301 clinics .

Countries with the highest number of clinics treating the diseases:

Benign prostatic hyperplasia (BPH):

Related procedures:

Benign Prostatic Hyperplasia (BPH): Overview and Treatment

Disease Types & Epidemiology

How common is the benign prostatic hyperplasia?

Benign prostatic hyperplasia (BPH) is a widespread condition that affects the prostate gland in aging men. The prostate, a small gland beneath the bladder, encircles the urethra, the tube through which urine leaves the body. BPH entails the enlargement of the prostate gland, which can result in urinary symptoms by compressing the urethra and obstructing urine flow. Importantly, BPH is a non-cancerous condition and does not increase the risk of prostate cancer. According to the American Urological Association, BPH impacts around 50% of men aged 51-60 [AUA, 2023].

The National Institute of Diabetes and Digestive and Kidney Diseases [NIDDK, 2023] reports that the prevalence of benign prostatic hyperplasia (BPH) increases with age:

  • By age 60, about 50% of men show signs of BPH in their medical tests.
  • By age 85, around 90% of men have this condition.
  • Symptomatic BPH, which causes noticeable urinary problems, affects roughly 30% of men aged 50 and older.

Causes & Risk Factors

What is the primary issue of benign prostatic hyperplasia?

The exact cause of benign prostatic hyperplasia (BPH) remains unclear, but various factors appear to contribute to its development. As men age, their risk of developing BPH increases. Changes in the balance of sex hormones, such as testosterone and estrogen, are believed to play a role in the condition. Furthermore, men with a family history of prostate problems are more susceptible to BPH. Lifestyle factors, including obesity, lack of physical activity, and certain dietary habits, may also increase the likelihood of developing this common condition.

Clinical Manifestation & Symptoms

What signs should one anticipate while suspecting benign prostatic hyperplasia?

The common symptoms of benign prostatic hyperplasia (BPH) may include:

  • Needing to urinate frequently, especially at night
  • A sudden, strong urge to urinate
  • Trouble starting the urine stream
  • A weak or interrupted urine flow
  • Dribbling at the end of urination
  • Feeling like the bladder is not completely emptied

These symptoms can significantly affect one's quality of life and may lead to potential complications if left unmanaged.

Diagnostic Route

When, where, and how should benign prostatic hyperplasia be detected?

Diagnosing BPH involves several steps:

  1. The doctor reviews the patient's medical history and performs a physical exam, including a digital rectal exam, to check the size of the prostate.
  2. A urine sample is tested to rule out infection or other conditions (urinalysis).
  3. Prostate-specific antigen (PSA) blood test helps assess prostate health, while PSA levels can be elevated in both BPH and prostate cancer.
  4. Uroflowmetry measures the strength and amount of urine flow to determine the degree of blockage.
  5. The postvoid residual volume test evaluates the amount of urine left in the bladder after urination, indicating how well the bladder empties.
  6. Ultrasound or MRI may be used to assess the prostate and urinary tract via imaging.

Treatment Approaches

What are the options for managing benign prostatic hyperplasia?

Benign prostatic hyperplasia (BPH) treatment is tailored to the individual's symptoms and overall health. Many options are available, including lifestyle adjustments, medications, minimally invasive procedures, and surgery [Cancer.gov, 2023].

For those with milder symptoms, lifestyle changes can be very effective. This may involve managing fluid intake, especially in the evenings, to minimize nighttime urination. Additionally, avoiding bladder irritants like caffeine and alcohol, as well as practicing bladder training techniques such as timed urination and pelvic floor exercises, can help manage the symptoms of BPH.

Medications treatment

Medications are another essential aspect of managing benign prostatic hyperplasia (BPH). Alpha-blockers, such as tamsulosin, alfuzosin, and doxazosin, work by relaxing the muscles in the bladder neck, and prostate, making it easier to urinate. Around 70% of men experience symptom improvement with these medications, although side effects like dizziness, headaches, and fatigue can occur.

Another class of medications is 5-alpha reductase inhibitors, which reduce the size of the prostate by blocking the hormone responsible for its growth. Finasteride and dutasteride are examples of these drugs, and they can shrink the prostate by around 25% and improve symptoms over 6-12 months. However, these medications may also lead to side effects like reduced libido, erectile dysfunction, and breast tenderness.

For some men, combining alpha-blockers and 5-alpha reductase inhibitors, such as tamsulosin and dutasteride, can be even more effective, with up to 80% of patients experiencing significant symptom relief.

Surgical Treatment

For men with BPH, there are several minimally invasive treatment options available. Transurethral resection of the prostate (TURP) is considered the gold standard surgical procedure, where the doctor removes excess prostate tissue through the urethra. TURP is highly effective, providing symptom relief for 80-90% of patients, but it does carry some risks like bleeding, infection, and retrograde ejaculation.

Another option is laser therapy, which uses high-energy lasers to either remove or shrink the prostate tissue. Procedures like holmium laser enucleation and photoselective vaporization of the prostate have shown excellent results, with 70-90% of men experiencing improved symptoms. These laser treatments tend to have a lower risk of bleeding than TURP.

The UroLift system is a unique minimally invasive approach that involves placing small implants to hold the prostate tissue away from the urethra, relieving the obstruction. This procedure can provide rapid symptom relief for about 70% of patients and has the advantage of a quick recovery time and preservation of sexual function.

For significant prostate mass larger than 80 ml, an open or robot-assisted prostatectomy may be necessary. These procedures are highly effective, with a success rate of over 90%. However, they carry a higher risk of complications such as incontinence and erectile dysfunction compared to minimally invasive procedures.

Prognosis & Follow-up

How does cutting-edge science improve the quality of life for those with benign prostatic hyperplasia?

Benign prostatic hyperplasia (BPH) is a treatable condition, with a range of practical management options available. Most men who receive appropriate treatment experience marked improvements in their symptoms and overall quality of life. Complications such as urinary retention, recurring urinary tract infections, and bladder stones are relatively uncommon when the condition is appropriately managed.

Regular follow-up appointments are essential to monitor the effectiveness of treatment and manage any potential complications. This typically involves:

  • During the first year after treatment, appointments every 3-6 months to assess symptoms and conduct physical exams.
  • After the first year, annual appointments focus on long-term symptom management and monitoring for complications.
  • Periodic PSA tests may be recommended to monitor prostate health every year.

Each visit will likely include a review of symptoms, a physical examination, and potentially additional tests like uroflowmetry or checking the amount of urine remaining in the bladder.

  • Alejandro Santos, M.D.
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