BPH TREATMENTS
The treatment of Benign Prostate Hyperplasia can be divided into medical or surgical. The initiation of medical therapy depends essentially on the degree of discomfort that results from urinary symptoms.
Surgical treatment is used when medical treatment is not effective or when one of the following situations occurs: renal failure, recurrent or chronic urinary retention, recurrent urinary infections, frequent episodes of blood in the urine, presence of bladder stones (stones bladder).
MEDICAL TREATMENT
Phytotherapy, Alpha-blockers, 5 Alpha-reductase inhibitors are the main classes of medical therapy. They can be used alone or in combination. They have completely different side effect profiles.
REZUM
Endoscopic procedure performed on an outpatient basis with local anesthesia or mild sedation that consists of introducing thermal energy (steam) into the prostate - Does not cause sexual dysfunction
RTU-P
Endoscopic procedure that consists of removing small "splinters" of prostatic tissue that are subsequently evacuated.
Effective for prostates up to 60cc.
OPEN SURGERY
Classic surgical procedure , usually performed through an incision in the skin between the navel and pubic bone.
It requires a hospital stay of 3 to 5 days, normally reserved for large prostates.
Note - Contrary to what many patients judge, erectile dysfunction is exceptional after any of these techniques. The negative factor normally associated with these procedures is the absence of ejaculation: "dry orgasm".