Editing Benign prostatic hypertrophy (section)

== Management ==

* Non-operative
** Fluid restriction
** Reduction in caffeine
** Duodart - results in a 25% shrinking of prostate if taken for a year, and an average 20% improvement in symptom scores. And men often end up needing surgery anyway.
* Operative
** TURP - results in significant improvements in max flow rate and a 75% improvement in symptoms scores
** Very large prostates may require open prostatectomy or HOLEP (Holmium laser enucleation of the prostate)
** Risks:
*** Secondary haemorrhage occurs after discharge, often with clot retention. Needs readmission and washout.
*** Retrograde ejaculation - about 65% of men
*** Erectile impotence - about 5% of men, and usually those whose potency is waning regardless
*** Failure to improve symptoms - worse in those who only have mild symptoms, or those with weak bladder contraction anyway
*** Risk of reoperation - about 15% after 10 years


[[Category:Urology]]