What happens if medical therapy fails or one cannot tolerate the adverse effects ofmedical therapy

For men who fail or cannot tolerate medical therapy there are a variety of additional options available for treatment of BPH. These options vary from minimally invasive procedures to open surgical procedures. The choice of procedure will be determined by your overall health status, the size of your prostate, the presence or absence of other problems, such as bladder stones, your preference, and your urologist's recommendations. Surgical interventions include open prostatectomy, transurethral prostatectomy, transurethral incision of the prostate, and various laser treatments of the prostate. Minimally invasive approaches to treatment of BPH include microwave therapy, transurethral needle ablation (TUNA), radiofre-quency ablation of the prostate, and placement of pro-static stents. In those individuals in retention, in whom urodynamic studies have demonstrated poor bladder function, an indwelling foley catheter, suprapubic catheter, or clean intermittent catheterization are options.

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