BPH Treatments | Treatments | Bayside Urology

BPH Treatments

How is Benign Prostatic Hyperplasia Treated?

Treatment options for BPH include both medications as well as surgical options, and the best course of therapy is determined by the doctor based on:

overall health,
lab results,
progression of the enlargement, and
presence of complications due to an enlarged prostate

Medications for BPH Treatment

The medicine works best in cases with mild to moderate symptoms and includes.

Alpha-Blockers

They act by relaxing the neck of the bladder muscles and surrounding tissues, making it easier to urinate.

5 Alpha-Reductase Inhibitors

This group of drugs results in size reduction of the prostate gland, again, making urination easier.

Combination

A combination approach can also be given in certain cases. These work by relaxing bladder muscles and shrinking the prostate gland, respectively.

PDE5 Inhibitors

They have been shown to be effective presumably due to the relaxation of the smooth muscle fibres of the bladder and prostate, especially useful in men with erectile dysfunction.

Anticholinergics or Beta3 Agonist (Mirabegron)

They are not the first line for BPH. However, they relieve overactive bladder symptoms and are useful adjuncts, especially for men suffering severe urge or urge incontinence.

Advanced BPH Treatments

UroLift

Tiny implants are placed into the prostate that effectively holds the urethra open. There is no cutting, heating or removal of prostate tissue.

Rezum

Using water vapour (steam) which is injected into the prostate causing the enlarged parts of the prostate to die and be reabsorbed by the body.

Laser Therapy

Where amplified light energy is used to generate heat to destroy prostatic tissue. There are many different types of laser therapy for BPH, Dr Hadley uses a GreenLight Laser.

Transurethral Resection Of The Prostate (TURP)

A telescope is inserted via the urethra and the enraged part of the prostate gland is removed

Trans-urethral Incision Of The Prostate (TUIP) or Bladder Neck Incision (BNI) - for this procedure incisions are only made in the prostate gland to make urination easier.

Simple Prostatectomy (Open/Robotic)

Indicated especially if the above endoscopic option is not most suitable, especially for men with the very large or massive prostate gland. Unlike prostatectomy for prostate cancer involves removing the entire prostate (radical prostatectomy), this procedure removes just the part of the prostate that's blocking the flow of urine (adenomas).