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Lower urinary tract symptoms in men, age-related (including symptoms of benign prostatic hyperplasia/hypertrophy) - Management
Treatments available in secondary care
- In secondary care, treatment options for storage (obstructive) symptoms include urethral catheterization and prostate surgery.
- Catheterization
- Urethral catheterization may be intermittent, indwelling urethral, or indwelling suprapubic.
- More invasive options are used only when less invasive options are impractical or have failed.
- Surgery
- Surgical options include:
- Transurethral resection of the prostate (TURP).
- Transurethral vaporization of the prostate (TUVP).
- Holmium laser enucleation of the prostate (HoLEP).
- Transurethral incision of the prostate (TUIP).
- Open prostatectomy.
- The choice of surgery depends on the size of the prostate, the availability of specialized equipment and skills, the man's health, and how he balances the expected benefits against the risks.
- Most operations are performed through the urethra, but open surgery is used for larger prostates (weighing more than 80 g).
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