Treatment Algorithm for Management of Benign Prostatic Obstruction: An Overview of Current Techniques
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...
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| Format: | Article |
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MDPI AG
2023-10-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/13/10/2077 |
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| author | Thomas Hughes Philip Harper Bhaskar K. Somani |
| author_facet | Thomas Hughes Philip Harper Bhaskar K. Somani |
| author_sort | Thomas Hughes |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T21:07:13Z |
| format | Article |
| id | doaj.art-c0c0afb1819548e3a1a4cb2dd757b0dc |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-10T21:07:13Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-c0c0afb1819548e3a1a4cb2dd757b0dc2023-11-19T17:07:03ZengMDPI AGLife2075-17292023-10-011310207710.3390/life13102077Treatment Algorithm for Management of Benign Prostatic Obstruction: An Overview of Current TechniquesThomas Hughes0Philip Harper1Bhaskar K. Somani2Department of Urology, South Warwickshire University Hospital NHS Foundation Trust, Warwick CV34 5BW, UKDepartment of Surgery, Guy’s and St Thomas’ NHS Foundation Trust, London SE1 9RT, UKDepartment of Urology, University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UKThe 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.https://www.mdpi.com/2075-1729/13/10/2077BPHprostatelaserPAEMISTRezūm |
| spellingShingle | Thomas Hughes Philip Harper Bhaskar K. Somani Treatment Algorithm for Management of Benign Prostatic Obstruction: An Overview of Current Techniques Life BPH prostate laser PAE MIST Rezūm |
| title | Treatment Algorithm for Management of Benign Prostatic Obstruction: An Overview of Current Techniques |
| title_full | Treatment Algorithm for Management of Benign Prostatic Obstruction: An Overview of Current Techniques |
| title_fullStr | Treatment Algorithm for Management of Benign Prostatic Obstruction: An Overview of Current Techniques |
| title_full_unstemmed | Treatment Algorithm for Management of Benign Prostatic Obstruction: An Overview of Current Techniques |
| title_short | Treatment Algorithm for Management of Benign Prostatic Obstruction: An Overview of Current Techniques |
| title_sort | treatment algorithm for management of benign prostatic obstruction an overview of current techniques |
| topic | BPH prostate laser PAE MIST Rezūm |
| url | https://www.mdpi.com/2075-1729/13/10/2077 |
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