Scroll

If you have BPH you are not alone

00%
Half of all men in their 50s have enlarged prostates, and this percentage increases with age.
While BPH is not life threatening, it can greatly impact your quality of life. Since the prostate is adjacent to the bladder and the urinary system, BPH symptoms usually affect your ability to urinate.

BPH Symptoms

  • Sudden urges to urinate
  • Frequent urination
  • Waking up at night to urinate
  • Difficulty emptying the bladder
  • Difficulty starting the urine stream
  • Weak stream of urine
  • Urinary tract infection

BPH symptom
quiz

In the following 8 questions, you will be asked to rate the frequency in which you feel urinary related symptoms.

These questions are also known as the International Prostate Symptom Score (IPSS) and are commonly used by urologists to help determine the frequency and severity of your BPH symptoms so they can advise you properly.

Since the questionnaire does not replace physician consultation, we recommend you to share these results with your physician.

Quiz

Question 1
Incomplete Emptying
How often have you had the sensation of not emptying your bladder?
Question 2
Frequency
How often have you had to urinate less than every two hours?
Question 3
Intermittency
How often have you found you stopped and started again several times when you urinated?
Question 4
Urgency
How often have you found it difficult to postpone urination?
Question 5
Weak Stream
How often have you had a weak urinary stream?
Question 6
Straining
How often have you had to strain to start urination?
Question 7
Nocturia
How many times did you typically get up at night to urinate?
Question 8
Quality of Life Due to Urinary Symptoms
If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?
Score Indication
Your IPSS Score
Effective treatments are available and are helping men get back to their daily routines, sleeping better, and living happier & healthier lives. Press to find a practice near you
Quality of Life Due to Urinary Symptoms
1-7 Mild
8-19 Moderate
20-35 Severe
Effective treatments are available and are helping men get back to their daily routines, sleeping better, and living happier & healthier lives. Press to find a practice near you
1-7 Mild
8-19 Moderate
20-35 Severe
Questions Answer
Incomplete Emptying
Frequency
Intermittency
Urgency
Weak Stream
Straining
Nocturia
Quality of Life Due to Urinary Symptoms

Your IPSS Score

While there is a variety of BPH treatment options, there are

4 important factors you need to consider

when selecting your treatment:

Minimal Complications & Quick Recovery

Staying home and recovering from a painful surgery means more time to get back to your daily routine. It is recommended to consider a method that will get you up and running after a short recovery time – with minimal pain and side effects.

Fast Symptom Relief

Why wait days or weeks to experience the full benefit of your treatment? Some treatments provide quick alleviation of BPH symptoms once the procedure is done, while others can take significantly longer.

Durability

Since prostate tissue growth is a continuous process, it is important to choose a treatment that actually eliminates or minimizes future tissue re-growth and avoids the need for re-operation.

Sexual-Function

Sexual Function

Preserving sexual function is important to quality of life for many men. Therefore, it’s important to select a treatment that preserves aspects of sexual function that are important to you.

Treatment options

Holmium Laser
Treatments

Treatment options

Other Energy
Tranmission

Treatment options

TURP

Treatment options

Prostate stapling

Treatment options

Watchful waiting and medications

Treatment options

Holmium Laser
Treatments

The use of Holmium lasers for the treatment of BPH is considered the new gold standard for the treatment of BPH.
Being highly precise and efficient, the Holmium laser is used in two main surgical techniques: Holmium Laser Enucleation of the Prostate (HoLEP) and Holmium Laser Vaporization of the Prostate (HoLVP).
Holmium laser treatments, performed under general or local anesthesia, result in minimal bleeding, a short recovery time, and immediate symptom alleviation. Moreover, the recurrence rate is very low due to the removal of the entire obstructive component of the prostate.

learn more
  • Krambeck et al. Trends and Perioperative Outcomes across Major BPH Procedures from the ACS-NSQIP 2011-2015, Journal of Endourology July 2018
  • Beaghler et al. Photoselective laser ablation of the prostate: a review of the current 2015 tissue ablation options, Can J Urol, 22 Suppl 1:45-52.

Treatment options

Other Energy
Tranmission

In addition to Holmium laser treatments, several other laser types are also used for the treatment of BPH, including Greenlight (KTP), Thulium and diode lasers.
Whereas these treatments are generally efficient, there is some risk of tissue charring and complications, as well as known reoccurrence rates .

  • Kumar Comparison of tissue vaporization rate and efficiency between Lumenis Pulse 120H Holmium laser and AMS 180W Green Light KTP laser in an Ex-vivo model – WCE 2017.
  • Duartes et al. Complications of prostate enucleation and morcellation with thulium laser for BPH – EAU 2016

Treatment options

TURP

Transurethral Resection of the Prostate (TURP) is a common surgery, in which the prostate is being removed using an electrical resectoscope under local or general anesthesia.
Although TURP is an effective BPH treatment, it involves a long hospital stay and recovery period, and may involve pain or bleeding.
In some cases, there’s a risk of developing TURP syndrome, which in rare cases may be life threatening.

  • An et al. Holmium laser enucleation of the prostate versus transurethral resection of the prostate: a randomized clinical trial. Int Urol Nephrol, 46(7):1277-82. 2014
  • Elghamarawy et al. Holmium Laser Enucleation of the Prostate Versus Bipolar Resection of the Prostate: A Prospective Randomized Study. "Pros and Cons". Urology, 86(5):1037-41. 2015

Treatment options

Prostate stapling

Prostate stapling is a minimally invasive surgery performed under local anesthesia. It uses very small permanent implants that stay in your body and hold the prostatic lobes apart, allowing urine to flow through the prostate.
Since stapling does not involve any tissue removal, it is currently considered as a temporary solution, focused on symptom relief.
Therefore, there is always the possibility of prostate re-growth. Prostate stapling is not suitable for all men as its effects depend on the size and shape of your prostate

  • Somani et al. UroLift: a new minimally-invasive treatment for benign prostatic hyperplasia, Ther Adv Urol. 2016 Dec; 8(6): 372–376. Published online 2016 Oct 10. doi: 10.1177/1756287216671497 PMCID: PMC5117169 PMID: 27904652

Treatment options

Watchful waiting and medications

When BPH symptoms are mild, your doctor may advise you to monitor your current situation or use medications that can help relieve BPH symptoms.
While this may be a good temporary solution, it is important that you discuss with your physician the possible side effects of drug therapy.
It is also important to note that drug therapy for BPH involves taking daily medication on a long-term basis and may affect other treatment options.

  • AUA Guidelines - Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia (2018)

Minimal Complications & Quick Recovery

Fast symptom relieve

Durability

Sexual-Function

Sexual Function

  • Krambeck et al. Trends and Perioperative Outcomes across Major BPH Procedures from the ACS-NSQIP 2011-2015, Journal of Endourology July 2018
  • Beaghler et al. Photoselective laser ablation of the prostate: a review of the current 2015 tissue ablation options, Can J Urol, 22 Suppl 1:45-52.
  • Kumar Comparison of tissue vaporization rate and efficiency between Lumenis Pulse 120H Holmium laser and AMS 180W Green Light KTP laser in an Ex-vivo model – WCE 2017.
  • Duartes et al. Complications of prostate enucleation and morcellation with thulium laser for BPH – EAU 2016
  • An et al. Holmium laser enucleation of the prostate versus transurethral resection of the prostate: a randomized clinical trial. Int Urol Nephrol, 46(7):1277-82. 2014
  • Elghamarawy et al. Holmium Laser Enucleation of the Prostate Versus Bipolar Resection of the Prostate: A Prospective Randomized Study. "Pros and Cons". Urology, 86(5):1037-41. 2015
  • Somani et al. UroLift: a new minimally-invasive treatment for benign prostatic hyperplasia, Ther Adv Urol. 2016 Dec; 8(6): 372–376. Published online 2016 Oct 10. doi: 10.1177/1756287216671497 PMCID: PMC5117169 PMID: 27904652
  • AUA Guidelines - Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia (2018)

TREATMENT OPTIONS

Treatment options 1

Holmium Laser
Treatments

The use of Holmium lasers for the treatment of BPH is considered the new gold standard for the treatment of BPH.
Being highly precise and efficient, the Holmium laser is used in two main surgical techniques: Holmium Laser Enucleation of the Prostate (HoLEP) and Holmium Laser Vaporization of the Prostate (HoLVP).
Holmium laser treatments, performed under general or local anesthesia, result in minimal bleeding, a short recovery time, and immediate symptom alleviation. Moreover, the recurrence rate is very low due to the removal of the entire obstructive component of the prostate.

learn more
  • Krambeck et al. Trends and Perioperative Outcomes across Major BPH Procedures from the ACS-NSQIP 2011-2015, Journal of Endourology July 2018
  • Beaghler et al. Photoselective laser ablation of the prostate: a review of the current 2015 tissue ablation options, Can J Urol, 22 Suppl 1:45-52.

Treatment options 2

Other Energy
Tranmission

In addition to Holmium laser treatments, several other laser types are also used for the treatment of BPH, including Greenlight (KTP), Thulium and diode lasers.
Whereas these treatments are generally efficient, there is some risk of tissue charring and complications, as well as known reoccurrence rates .

  • Kumar Comparison of tissue vaporization rate and efficiency between Lumenis Pulse 120H Holmium laser and AMS 180W Green Light KTP laser in an Ex-vivo model – WCE 2017.
  • Duartes et al. Complications of prostate enucleation and morcellation with thulium laser for BPH – EAU 2016

Treatment options 3

TURP

Transurethral Resection of the Prostate (TURP) is a common surgery, in which the prostate is being removed using an electrical resectoscope under local or general anesthesia.
Although TURP is an effective BPH treatment, it involves a long hospital stay and recovery period, and may involve pain or bleeding.
In some cases, there’s a risk of developing TURP syndrome, which in rare cases may be life threatening.

  • An et al. Holmium laser enucleation of the prostate versus transurethral resection of the prostate: a randomized clinical trial. Int Urol Nephrol, 46(7):1277-82. 2014
  • Elghamarawy et al. Holmium Laser Enucleation of the Prostate Versus Bipolar Resection of the Prostate: A Prospective Randomized Study. "Pros and Cons". Urology, 86(5):1037-41. 2015

Treatment options 4

Prostate stapling

Prostate stapling is a minimally invasive surgery performed under local anesthesia. It uses very small permanent implants that stay in your body and hold the prostatic lobes apart, allowing urine to flow through the prostate.
Since stapling does not involve any tissue removal, it is currently considered as a temporary solution, focused on symptom relief.
Therefore, there is always the possibility of prostate re-growth. Prostate stapling is not suitable for all men as its effects depend on the size and shape of your prostate

  • Somani et al. UroLift: a new minimally-invasive treatment for benign prostatic hyperplasia, Ther Adv Urol. 2016 Dec; 8(6): 372–376. Published online 2016 Oct 10. doi: 10.1177/1756287216671497 PMCID: PMC5117169 PMID: 27904652

Treatment options 5

Watchful waiting and medications

When BPH symptoms are mild, your doctor may advise you to monitor your current situation or use medications that can help relieve BPH symptoms.
While this may be a good temporary solution, it is important that you discuss with your physician the possible side effects of drug therapy.
It is also important to note that drug therapy for BPH involves taking daily medication on a long-term basis and may affect other treatment options.

  • AUA Guidelines - Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia (2018)

Minimal Complications & Quick Recovery

Fast symptom relieve

Durability

Sexual-Function

Sexual Function

  • Krambeck et al. Trends and Perioperative Outcomes across Major BPH Procedures from the ACS-NSQIP 2011-2015, Journal of Endourology July 2018
  • Beaghler et al. Photoselective laser ablation of the prostate: a review of the current 2015 tissue ablation options, Can J Urol, 22 Suppl 1:45-52.
  • Kumar Comparison of tissue vaporization rate and efficiency between Lumenis Pulse 120H Holmium laser and AMS 180W Green Light KTP laser in an Ex-vivo model – WCE 2017.
  • Duartes et al. Complications of prostate enucleation and morcellation with thulium laser for BPH – EAU 2016
  • An et al. Holmium laser enucleation of the prostate versus transurethral resection of the prostate: a randomized clinical trial. Int Urol Nephrol, 46(7):1277-82. 2014
  • Elghamarawy et al. Holmium Laser Enucleation of the Prostate Versus Bipolar Resection of the Prostate: A Prospective Randomized Study. "Pros and Cons". Urology, 86(5):1037-41. 2015
  • Somani et al. UroLift: a new minimally-invasive treatment for benign prostatic hyperplasia, Ther Adv Urol. 2016 Dec; 8(6): 372–376. Published online 2016 Oct 10. doi: 10.1177/1756287216671497 PMCID: PMC5117169 PMID: 27904652
  • AUA Guidelines - Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia (2018)