What are the Treatment Options for Men when Treatment for Enlarged Prostate Did Not Work?
I often see men for the second opinion who have been treated for enlarged prostate with multiple medications or procedures and who have persistent urinary problems that are either not getting better or getting worse. It is understandable that these men are very frustrated with the lack of improvement with their symptoms.
As a specialist in treating complex urological problems, I find that the key to success lies in careful evaluation and assessment of the problem. It is necessary to determine why previous treatments have not worked. Sometimes there is simply a communication issue, with the treating doctor for one reason or another not appreciating how severe the patient’s symptoms have become.
Often, men with more severe symptoms require a multimodal approach to the treatment of their urinary symptoms. Long-standing prostate obstruction often affects the functioning of the bladder. Without addressing both problems resolution of symptoms is not possible. Overactive bladder commonly coexists with BPH.
Treatment Failure of TUPR or Greenlight Laser, TUNA and Microwave
In situations when surgical procedures do not lead to the desired outcome, a thorough re-evaluation is necessary before undertaking further procedures or treatment. Some men require medical or nonsurgical treatment to optimize the benefit of the surgical procedure. Other men require a different surgical procedure; sometimes repeating the same or a similar surgical procedure to remove more obstructive tissue is necessary.
Typically repeat surgical procedures are more technically challenging and require patience and technical expertise to achieve optimal results.
Dr. Shteynshlyuger is a board-certified urologist and specialist in the treatment of enlarged prostate and complex urinary problems using minimally invasive approaches. He is the Director of Urology at New York Urology Specialists. He is one of the first urologists in the US and in New York City to offer Urolift as a treatment for enlarged prostate.
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