BPH Tx

Question 1

Mild Sxs

Answer 1

• Watchful waiting

Question 2

Moderate Sxs w/ ED

Answer 2

• Alpha Adrenergic Antagonist (Alfuzosin / Tamsulosin)
• PDE 5 inhibitor (Tadalafil)

(or both)

Question 3

• Moderate sxs
• Small prostate
• Low PSA

Answer 3

• Alpha Adrenergic Antagonist

(Alfuzosin / Tamsulosin / Doxazosin)

Question 4

• Moderate sxs
• Large prostate
• Increased PA

Answer 4

• 5 ARI (Finasteride)
• Alpha Adrenergic Antagonist (Alfuzosin)

Question 5

• Moderate sxs
• Predominant irritative voiding sxs

Answer 5

• Alpha Adrenergic Antagonist (Alfuzosin)
• Anticholinergic agent
• B3 Adrenergic Agonist (Mirabegron)

Question 6

• Severe sxs
• Complications of BPH

Answer 6

• Minimally invasive surgery or Prostatectomy