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A wide range of options

Medication

Alpha blockers

This type of medication helps to relax the muscles in the bladder and prostate, allowing urine to flow more freely.1 Most men see improvements in a couple of days, but some may experience side effects such as dizziness or a decrease in ejaculation.1

5-alpha reductase inhibitors

These drugs work by lowering the production of dihydrotestosterone (DHT), aiming to stop prostate growth or shrink it in size.1 However, adverse events include a reduction in sex drive and erectile dysfunction,1 and they are not suitable for short-term use due to their slow onset of action.1

Alternative options

Implantable nitinol device

An implantable nitinol device, which aims to deliver rapid relief from BPH symptoms through minimally invasive treatment.2

Prostatic urethral lift (PUL)

This procedure utilises permanent implants to lift and hold the enlarged prostate tissue out of the way, increasing the opening of the urethra.3

Transurethral resection of the prostate (TURP)

TURP is often recommended to treat an enlarged prostate. The procedure involves use of a heated wire to cut tissue from the prostate, followed by insertion of a catheter to flush away the pieces of prostate that have been removed.4

Transurethral incision of the prostate (TUIP)

This technique is used to widen the urethra through small cuts to the bladder neck, making it easier for urine to pass through.5

Transurethral microwave thermotherapy (TUMT)

Microwave energy is used to destroy enlarged prostate tissue, easing urine flow.5

Transurethral needle ablation (TUNA)

This technique utilises radio waves to cause selective necrosis of the prostate tissue, whilst preserving the urethra and adjacent structures.6

Open prostatectomy

This procedure involves the removal of the inner part of the prostate through incisions made in the abdomen.7

Aquablation

Aquablation therapy is a robotic resective procedure that uses a heat-free waterjet to remove prostate tissue.8

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 Reference list

1. Gravas S, Cornu JN, Gacci M, et al. EAU Guidelines on Management of Non-Neurogenic Male Lower Urinary Tract Symptoms (LUTS), incl. Benign Prostatic Obstruction (BPO). Available at: https://uroweb.org/guidelines/management-of-non-neurogenic-male-luts [Accessed April 2022].
2. iTind. Minimally Invasive BPH Treatment. 2021. Available at: https://www.olympus-europa.com/medical/en/Products-and-Solutions/Products/Product/iTind.html. [Accessed April 2022].
3. Urolift®. Available at: https://www.urolift.com/. [Accessed April 2022].
4. NHS. Transurethral resection of the prostate (TURP). 2021. Available at: https://www.nhs.uk/conditions/transurethral-resection-of-the-prostate-turp/. [Accessed April 2022].
5. Urology Care Foundation. Benign Prostatic Hyperplasia (BPH): Surgery. Available at: https://www.urologyhealth.org/urology-a-z/b/benign-prostatic-hyperplasia-(bph)/surgery. [Accessed April 2022].
6. Law YXT, Chen WJK, Shen L, et al. Is transurethral needle ablation of prostate out of fashion? Outcomes of single session office-based transurethral needle ablation of prostate in patients with symptomatic benign prostatic hyperplasia. Investig Clin Urol. 2019;60(5):351–358.
7. Oxford University Hospitals. Open removal of the prostate for benign disease. Available at: https://www.ouh.nhs.uk/urology/services/documents/millin-prostatectomy.pdf. [Accessed April 2022].
8. Aquablation®. Aquablation Therapy. Available at: https://aquablation.com/aquablation-therapy/. [Accessed April 2022].

CAUTION: The law restricts these devices to sale by or on the order of a physician. Indications, contraindications, warnings, and instructions for use can be found in the product labelling supplied with each device. Products shown for INFORMATION purposes only and may not be approved or for sale in certain countries. This material not intended for use in France.