What does the BPE treatment algorithm recommend?

IPSS 0-7 + no bother: watchful waiting + lifestyle. IPSS 8-19 + bothered: alpha-blocker alone (volume =40mL, PSA >=1.4). IPSS >=20 or retention/complications: surgical evaluation.

What surgical options exist for BPH?

TURP (gold standard, prostate 100mL). Greenlight laser PVP (anticoagulated patients). UROLIFT (minimally invasive, prostate 20mL).

Does prostate volume affect medical therapy choice?

Yes. Prostate volume >=40mL with PSA >=1.4 ng/mL indicates higher risk of progression (AUR, surgery). 5-ARI combination is superior to alpha-blocker alone in this group (MTOPS, CombAT trials).

BPE Prostate Enlargement Treatment Algorithm

Apply BPH/BPE treatment algorithm: watchful waiting (mild IPSS), medical therapy (moderate), or surgery (severe/refractory) based on IPSS, prostate volume, PSA, and PVR.

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BPE Prostate Enlargement Treatment Algorithm

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Frequently Asked Questions

What does the BPE treatment algorithm recommend?

What surgical options exist for BPH?

Does prostate volume affect medical therapy choice?