How is BPH Treated?
BPH is typically treated in a stepwise fashion which begins with utilizing conservative, behavioral based therapies and lifestyle changes (Step 1). If lifestyle changes alone are not successful in improving symptoms phytotherapy or medications will be trialed (Step 2). Ultimately if medications are unsuccessful or side effects are poorly tolerated additional testing with cystoscopy or urodynamics may be utilized and then advanced therapies will be considered (Step 3). Advanced therapies can be classified in many ways In our description they will be divided into office based and outpatient minimally invasive procedures and more invasive typically hospital based procedures.
What are the indications of BPH treatment?
Most problems are related to the inability to empty your bladder from prostate obstruction. These include:
Sudden inability to urinate (urinary retention).
You might need to have a tube (catheter) inserted into your bladder to drain the urine
Urinary tract infections (UTIs).
Bacteria can grow in urine that is not completely emptied from your bladder.
Stones may form in urine that is not completely emptied from your bladder. These stones can cause infection, bladder irritation, blood in the urine and obstruction of urine flow.
A bladder that hasn’t emptied completely can stretch and weaken over time. As a result, the muscular wall of the bladder no longer contracts properly, making it harder to fully empty your bladder.
Pressure in the bladder from urinary retention can directly damage the kidneys or allow bladder infections to reach the kidneys.
Most men with an enlarged prostate don’t develop these complications. However, acute urinary retention and kidney damage can be serious health threats.