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BPH treatment

1. Drug treatment

The treatment used is determined by the symptoms and how much they interfere with quality of life.
In the case of symptoms requiring urgent treatment, we normally choose alpha-blockers medication. There are many medications to choose from and there are only minimal differences in their chemical composition. All of them block the alpha receptors in the lower urinary tract, thereby reducing the frequency and urgency of urinating.
This treatment method is used if the symptoms are larger in volume and obstructive (such as urinary occlusion, making urinating difficult).

2. BPH surgical therapy

Traditionally the treatment of BPH by surgery targets the removal of tissue growth which indicate the degree of obstruction. It can happen that symptoms remain after a successful operation and after the removal of the obstruction. The obstruction not only comprises static component, but also dynamic from the smooth muscle tone. The success of surgical intervention is based upon the results of tests taken before the decision for surgery was taken. The minority of BPH patients have to be operated on out of necessity, whereas the majority of patients have to be operated on because of declining quality of life due to LUTS. It is difficult to define the concept of surgical treatment. The most important thing is that we carefully remove, separate or destroy the tissues. Nowadays, urinary obstruction caused by BPH can only be treated by surgical methods since, unfortunately, there are not any alternative treatments available. Previously, this type of surgery represented 40% of all urology surgery. The last decade has witnessed some changes: firstly, the opportunity to employ (and the result of) conservative treatment with drugs has improved. Secondly, new treatment methods have been introduced and older ones modified and enhanced. Although alternative or „half” surgical treatments have become common, 90% of treatment carried out in everyday practice are surgical interventions.