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Risk-adapted management of BPH 

Risk-adapted management of BPH
Chapter:
Risk-adapted management of BPH
Author(s):

Ingrid Berger

and Stephan Madersbacher

DOI:
10.1093/med/9780199572779.003.0021
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date: 03 April 2020

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.

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