Chapter

Risk-adapted management of BPH

Ingrid Berger and Stephan Madersbacher

in Benign Prostatic Hyperplasia and Lower Urinary Tract Symptoms in Men

Published on behalf of Oxford University Press

ISBN: 9780199572779
Published online January 2012 | e-ISBN: 9780199607501 | DOI: http://dx.doi.org/10.1093/med/9780199572779.003.0021

Series: Oxford Urology Library

Risk-adapted management of BPH

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Senior Adults • Age, co-morbidity, urodynamic considerations and treatment related complications need to be considered • All drugs currently licensed seem to be safe and effective in the elderly; minimal invasive procedures are an alternative to TURP in patients with high-anaesthesiologic risks. Patients at risk of progression • BPH/BPE/BPO are progressive disorders • prostate volume is the strongest predictor for the risk of acute urinary retention and the need for surgery • Plant extracts and α-blockers have––in contrast to 5 -reductase inhibitors––no relevant impact on the natural history of the disease • A risk-stratified management as elaborated herein seems to be advisable.

Chapter.  2901 words.  Illustrated.

Subjects: Genito-urinary Medicine

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