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Updated: May 21, 2026
06:04
Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).
Published on: March 6, 2018
[Update on current care guidelines: benign prostatic hyperplasia]
Duodecim; Laaketieteellinen Aikakauskirja
|June 26, 2012
Summary
Benign prostatic hyperplasia (BPH) is often diagnosed and managed in primary care. Effective treatments include medical therapy, combination drug regimens, and surgical options like transurethral resection or green laser procedures.
Area of Science:
- Urology
- Primary Care Medicine
Context:
- Benign prostatic hyperplasia (BPH) is a common condition affecting many men.
- Primary care settings are well-equipped for initial BPH diagnosis and management.
Purpose:
- To outline the diagnostic and therapeutic approaches for benign prostatic hyperplasia (BPH) in primary care.
- To review current and emerging treatment modalities for BPH.
Summary:
- BPH evaluation involves medical history, symptom scoring (DAN-PSS or IPSS), and physical examination.
- First-line management includes watchful waiting and medical therapy, with combination therapy (alpha-blocker and 5-alpha-reductase inhibitor) being most effective.
- Transurethral resection (TURP) remains a safe and effective surgical option, while the green laser shows promise as a new endoscopic treatment.
Impact:
- Empowers primary care physicians to effectively manage BPH patients.
- Provides an overview of established and novel BPH treatments.
- Informs clinical decision-making for BPH management, potentially improving patient outcomes.
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