Treatment options for benign prostatic hyperplasia

doi:10.1136/bmj.324.7345.1047

BMJ 2002;324:1047-1048 ( 4 May )

Editorials

Treatment options for benign prostatic hyperplasia

Choice depends on patient's weighting of severity and bother, with risks and benefits of various options

Papers p 1059

The first 150 words of the full text of this article appear below.

Lower urinary tract symptoms consistent with benign prostatic hyperplasia become increasingly prevalent with age. While rarelylife threatening, bothersome irritative urinary symptoms likeurgency, frequency, and nocturia, and obstructive ones like aweak stream, hesitancy, intermittency, and incomplete emptyingoccur in up to 70% of men aged 70 years and older. Community andpractice based studies suggest that men can expect slow progressionof the symptoms. However, these symptoms can wax and wane withouttreatment, and rates of acute urinary retention range from 1-2%per year.¹ By the age of 80 years, an estimated one in fourmen will have undergone treatment to relieve symptoms due to benignprostatic hyperplasia that reduce quality of life.²

Treatment options depend, in part, on the severity of symptoms and how bothersome they are. Options include watchful waiting(conservative or lifestyle management), phytotherapies, prescriptionmedications, surgical procedures, and minimally invasive techniques.To help choose between treatments . . . [Full text of this article]

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BMJ 2002 324: 1059. [Abstract] [Full Text] [PDF]