BPH therapies can be divided between medical or surgical. The start of medical therapy for BPH depends mainly on the bother caused by the urinary symptoms. Surgical therapy is used when medical therapy is not sufficient to minimise the symptoms or in one of these cases: Kidney failure, chronic or repetitive bladder obstruction, frequent urinary infections, hematuria (blood in the urine), bladder stones.
Phytotherapy, Alfa-blockers, 5 Alfa-reductase inhibitors, Phosfodiesterase inhibitors (Tadalafil) are the main therapeutic options. These drugs can be used isolated or in combination and their side-effect profile is very different.
An encoscopic, office based procedure consisting in the intraprostatic injection of vapour to destroy tissue - no ejaculation related side effects
An endoscopic procedure consisting in the removal of small "chips" of prostatic tissue.
For prostates up to 60-70ml.
Classical surgical procedure, usually done through an incision between the navel and the pubic bone.
Requires 3-5 days hospital stay.
Reserved for large prostates
Contrary to what many men believe erectile dysfunction IS NOT a common side effect to any of this procedures. The most common sexual side-effect is anejaculation or dry orgasm.