While benign prostatic hyperplasia (BPH) care has historically focused on immediate symptom management, often by way of long-term polypharmacy, leading urologists are now considering long-term bladder health when determining the most appropriate BPH treatment. In this episode of the BackTable Urology Podcast, Dr. Shawn West, a urologist practicing at McIver Clinic in Florida, discusses the contemporary management of BPH with host Dr. Jose Silva, emphasizing the newly appreciated role of first-line interventional therapy.
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This podcast is supported by:
Teleflex UroLift
https://www.urolift.com/
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SYNPOSIS
First, Dr. West delves into the initial patient consultation, diagnostic procedures, and the diverse treatment options for BPH including UroLift, GreenLight laser therapy, and Aquablation. Dr. West emphasizes the importance of individualized patient care, the role of objective symptom scoring systems, and the significance of setting realistic expectations for patients. The discussion also covers the benefits and challenges of different BPH treatments amidst the evolving landscape of minimally invasive urological procedures.
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TIMESTAMPS
00:00 - Introduction
03:59 - BPH and Voiding Dysfunction
10:21 - Patient-Centered Approach to BPH
19:46 - Diagnostic Workup for BPH
24:53 - Postoperative Catheter and Complications
25:02 - Aquablation
26:04 - UroLift
31:06 - Challenges with Median Lobes
41:02 - Postoperative Care
47:14 - Conclusion
