Current treatment options for relieving BPH symptoms range from watchful waiting (watching the progress of obstruction to urine flow with regular check-up and possibly blood tests before deciding on the most suitable treatment) to drug therapy and surgical intervention.
Your urologist is in the best position to give you advice.
The iTind is relatively new but trials so far show that at the very least the need for alternative treatments for BPH can be delayed. Longer terms trials may indicate that the symptoms can be improved in the long term in some men.
As the iTIND is removed after 5 days, there is nothing to prevent surgery being performed if needed at a later stage. Again, your urologist is the best person to advise if iTind may be suitable for you.
Surgery is often carried out when a patient’s condition does not improve following drug therapy. Surgery involves the removal or the ablation of the prostate to clear the tissue blocking the urinary path and enable the free flow of urine. It is generally effective in relieving symptoms, but requires hospitalisation and can lead to complications. Surgical treatments to alleviate your BPH symptoms include:
Transurethral Resection of the
Prostate (TURP) – TURP involves the complete resection of the prostate and is considered the gold standard treatment for BPH. Long-term complications are retrograde ejaculation, occurring in up to 70% of patients, and erectile dysfunction, which occurs in approximately 6% of patients. TURP requires hospitalisation and a catheter and urine bag are needed for a few weeks.
The picture shows a resectoscope through which a loop electrode is passed and then moved back and forward scraping off prostatic tissue.
Laser surgery – Photoselective vaporization of the prostate (PVP) and more recent prostate enucleation procedures minimise blood loss. Short-term side-effects consist of post-operative catheterisation for several days and pain while urinating (dysuria). Long-term risks of retrograde ejaculation and erectile dysfunction are similar to those for TURP.
Thermotherapy – There are several technologies that heat the prostate to burn away tissue and aid the flow of urine. These treatments are less invasive than a TURP or Laser surgery and can be performed at the urology clinic with a local anaesthetic. However, their efficacy is lower with a 20% retreatment rate needed at 1 year. In addition, these techniques cause inflammation, resulting in irritation during urination and acute urinary retention, which may require catheterisation for 1-2 weeks.