Modern best practice in the management of benign prostatichyperplasia in the elderly

摘要

Benign prostatic hyperplasia (BPH), with its associated lower urinary tractsymptoms (LUTS), can be a debilitating disease in the elderly male.Transurethral resection of the prostate (TURP) remains the gold standard;however, many patients will choose to avoid surgery if possible. Medical therapyis an effective alternative, however, new studies are showing that there may bemore side effects than previously realized in the elderly male. Newer, novelminimally invasive techniques, including UroLift® and Rezūm™, are gaining favoras alternative office-based procedural techniques that do not require generalanesthesia and may better preserve ejaculatory function. Though promising, atthis point, these techniques are not approved for all patients. With a range ofmedical, procedural, and surgical options for treatment of BPH with LUTS, it isimportant to have a discussion with your patient regarding the short- andlong-term risks and benefits, as well as alternatives, before deciding on atreatment plan for your patient with BPH.