Urology Times reached out to three urologists (selected randomly) and asked them each the following question: How has your management of BPH patients changed?
"The gold standard is still TURP [transurethral resection of the prostate], and, of course, medications and transurethral microwave thermal therapy. I don’t try anything new unless it’s been tried a million times by somebody else. I’m not an early adopter.
I don’t think anyone says those newer treatments can compare to the TURP. Heated steam is not as good; microwave is not as good; GreenLight laser is not as good, although that’s a form of transurethral vaporization of the prostate gland. Those are pretty equivalent. That’s the only thing that comes close to the results you get with TURP.
My motto is, stick with what works.
I did five microwaves today because guys requested it, as opposed to a TURP. They’re all going back to work tomorrow. They’ll have hardly any side effects. It doesn’t work that great, however. The good thing is, it has no sexual side effects. I tell them it’s not good as a long-term treatment, that in about 4-5 years they’ll need something else, but they still want TUMT. I do it because patients ask.”
D. Mark Brown, MD / Olympia, WA