|
TREATMENT |
INDICATIONS |
COMMENT |
|
Watchful Waiting |
Mild to Moderate symptoms, or
intermittent symptoms |
Involves yearly check ups |
|
Alpha blockers |
Moderate symptoms |
Side effects include stomach
upset, headache, dizziness |
|
5 alpha reductase inhibitors |
Moderate symptoms |
Small risk of sexual side effects |
|
Combination drug therapy |
Moderate symptoms |
Combined benefit and side effect
of both drugs |
|
Transurethral microwave heat treatment |
Moderate to severe symptoms |
In-office procedure using local
anesthesia. Side effects include small risk of temporary urinary frequency |
|
Transurethral needle ablation |
Moderate to severe symptoms |
Requires general or spinal
anesthesia. Side effects similar to transurethral microwave heat |
|
Laser prostate surgery |
Moderate to severe symptoms |
Outpatient procedure. Requires general or spinal
anesthesia. Side effects include temporary urinary frequency |
|
Transurethral resection (TURP) |
Severe symptoms |
Inpatient hospitalization. Requires general or spinal
anesthesia. Potential for significant bleeding, temporary urinary frequency,
rare incontinence |
|
Open surgery |
Severe symptoms |
Usually performed for extremely
large prostate glands |