What are the treatment options?
With early diagnosis and the right medical attention,
the symptoms of Benign Prostatic Hyperplasia (BPH) are highly treatable and manageable.
Medication & Monitoring
Prostatic Urethral Lift (PUL)
Thermotherapies & Lasers
Surgery
Medications can help alleviate BPH symptoms, but patients need to continue taking medication to manage their condition.1-2
PUL does not require heating, cutting, removal, or destruction of prostate tissue.1,3-7 It is the only leading BPH procedure shown to not cause sexual dysfunction as shown in the LIFT pivotal study.*1,8-11
An array of procedures involving the removal of prostate tissue via heat, steam, or lasers to relieve symptoms.
Transurethral resection of the prostate (TURP) involves using a superheated thin metal band to cut and remove prostate tissue.
Most men living with enlarged prostate (BPH) symptoms take prescription medications after they’re diagnosed, although these often don’t provide adequate relief and may cause bothersome side effects.1-2
There is no cure for BPH, but your doctor may prescribe medications to manage your symptoms. These medications may include alpha blockers which relax the muscles around the neck of your bladder, making it easier to urinate, and alpha reductase inhibitors which act to shrink the prostate, for examples. While medications can be helpful in relieving symptoms for some men, patients must continue taking them to maintain the effects.
For some men, prescription medications may not be effective enough, and in some cases, medications may cause side effects, such as dizziness, fatigue, and sexual dysfunction.1-2 These side effects, can be uncomfortable and can make men feel older than their age.
When symptoms are mild or non-bothersome, your doctor may monitor your condition and ask you to track your symptoms before deciding if any treatment is necessary. If your BPH condition progresses, your physician may suggest treatment. If left untreated, BPH can lead to permanent bladder damage.12
Take the International Prostate Symptom Score (IPSS) questionnaire now to measure the severity of your symptoms.
The PUL treatment may be an option for you if you are looking for an alternative to drugs or major surgery. It uses tiny implants to hold open the obstructed pathway that’s blocking urine flow, addressing the blockage, not just continuously treating BPH symptoms. The PUL treatment is generally safe and can be performed under local anesthesia. 1,11
This is the only leading BPH treatment that does not require heating, cutting or removal of the prostate tissue. 1,3-7 It has the lowest catheter rate of the leading BPH procedures.5,6,8,13-15
Compared to medications, the PUL treatment has demonstrated a positive effect on the quality of life for patients.8,16 In the LIFT pivotal study on the PUL, there were no instances of new, sustained erectile dysfunction or ejaculatory dysfunction.*1,3,8-11,13
Common side effects include temporary burning and stinging during urination (34%), temporary bleeding in urine (26%), pain or discomfort in pelvic area (18%), urgent need to urinate and/or the inability to control the urge (7%), temporary urge incontinence (4%).16
Take the International Prostate Symptom Score (IPSS) questionnaire now to measure the severity of your symptoms.
There are an array of procedures involving the removal of prostate tissue via heat, steam, or lasers to relieve symptoms.
Thermotherapies apply heat energy such as microwave, radio frequency or steam/water vapor directly to prostate tissue. Less invasive than TURP (see below), these treatments are generally safe, can be performed under local anesthesia and provide moderate symptom relief for some patients.1,11
Common side effects include temporary burning and stinging during urination (33%), temporary bleeding in urine (25%), pain or discomfort in pelvic area (16~20%).18
After procedure, patients can experience sexual dysfunction rates in the real world that are higher than those reported in their randomized controlled trials.1,5,11,17
Prostate laser surgery uses concentrated light to generate precise and intense heat to remove excess tissue that may be preventing urine flow. Laser therapy lessens the bleeding risks of traditional TURP.
Typically, a catheter has to be inserted into the bladder after the procedure due to swelling from tissue removal.9,14
The most prevalent laser procedures are called photo-selective vaporization of the prostate (PVP) or holmium laser enucleation (HOLEP).
Common side effects include temporary burning and bleeding (Almost all patients), temporary increase in the frequency of urination (Almost all patients), retrograde ejaculation (90%).19
Despite improvement in urinary flow, PVP clinical data demonstrates the potential for a 42% incidence of ejaculatory dysfunction.1
Take the International Prostate Symptom Score (IPSS) questionnaire now to measure the severity of your symptoms.
During Transurethral Resection of the Prostate (TURP), patient’s prostate tissue is removed with a superheated thin metal band.
During recovery, risks include bleeding, infection, ejaculatory dysfunction, and in some cases urinary incontinence.1 Patients require a catheter that is inserted into their bladder up to several days after the procedure.20
In some cases symptom relief may take time, but for some patients it provides the most symptom relief of any procedure and lasts a long time.1,21 There are risks of long-term side effects after TURP such as dry orgasm (retrograde ejaculation, common), and more rarely erectile dysfunction or incontinence (leaking of urine).1
Take the International Prostate Symptom Score (IPSS) questionnaire now to measure the severity of your symptoms.