BPH Treatments: Urolift vs. TURP vs. Medications | Answering YouTube Comments #10 | Mark Scholz, MD

Medical oncologist Mark Scholz, MD answers questions from PCRI RUclips comments about medicines and procedures to treat lower urinary tract symptoms (LUTS) from benign prostatic hyperplasia (BPH).
0:06 "What are your thoughts on UroLift or a TURP to relieve urinary symptoms from benign prostatic hyperplasia (BPH)?"
1:04 "I had a UroLift and it did not relieve urinary symptoms. Should I continue on with a different procedure?"
2:23 How many procedures should an expert of a BPH procedure (e.g. HIFU, Rezum) have performed for a patient to feel confident in the abilities?
3:26 How do the different treatments for BPH compare?
4:01 Which medications can be used to treat urinary symptoms from BPH?
4:34 Is there any one medication for BPH urinary symptoms that you prefer in your practice?
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[@eleveneleven6638]

Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure.
I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!

[@robprotz3218]

I can't believe you didn't mention a laser treatment!

[@roger1uk676]

Great stuff...but the one question is which treatments could you have for your bph when your diagnosed with small low grade low volume prostate cancer, my urologist has said no to rezum and i dont know why!

[@13Hangfire]

I've heard that flaxseed is pretty good treatment for an enlarged prostate.

[@dennisbell9948]

I had the urolift procedure one month ago for acute urinary retention it did not work for me at all. Still wearing catheter, looking at something called green light and the turp procedure I don't know, not feeling confident that they may work but they may have misdiagnosed me.

[@shuckyducky5212]

Sorry to hear your complications! How did they come to the conclusion that it was Urinary Retention and not BHP....or is that the same thing? In my case, I'm so confused because my doctor did a cytoscopy and says the issue is a bladder obstruction, the prostate is normal size (16cc) and I'm only 36yrs old. She recommended I look into UroLift or Rezum to preserve sexual function, but everything I read about these procedures is reserved for older men, enlarged prostates, and nothing about the bladder. I'm wondering if I am also misdiagnosed, misinformed, or not asking the right questions.

[@dennisbell9948]

@@shuckyducky5212 I have acute urinary retention.I have not been able to void ever since they put this catheter on me 5 months ago.five or six times this catheter has been removed to see if I could urinate on my own and I failed every time even after the urolift procedure. I've been reading from other people who have used the urolift procedure if they have retention is not a good thing to use urolift. I have to go in for more tests to figure out specifically what's going on.

[@babuni5299]

## Hi . Respect from India. How Long / How many years , a patient Supposed to Survive after His Urine Bladder Removal?? Does The Removal of Bladder has any effect on The Longevity of the patient ???plz reply