{"id":68924,"date":"2025-12-04T14:32:11","date_gmt":"2025-12-04T19:32:11","guid":{"rendered":"https:\/\/lescliniquesmaroisurologue.ca\/hypertrophie-benigne-de-la-prostate-comparaison-des-traitements\/"},"modified":"2025-12-04T15:42:56","modified_gmt":"2025-12-04T20:42:56","slug":"benign-prostatic-hyperplasia-comparison-of-treatment-options","status":"publish","type":"post","link":"https:\/\/lescliniquesmaroisurologue.ca\/en\/benign-prostatic-hyperplasia-comparison-of-treatment-options\/","title":{"rendered":"Benign Prostatic Hyperplasia: Comparison of Treatment Options"},"content":{"rendered":"<h1><b>Benign Prostatic Hyperplasia: Medication, Laser, or Surgery<\/b><\/h1>\n<p><span style=\"font-weight: 400;\">In men over 50, the prostate can enlarge and cause bothersome urinary symptoms such as a weak stream, frequent urges to urinate, and the sensation of incomplete bladder emptying.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">In Canada, <\/span><a href=\"https:\/\/lescliniquesmaroisurologue.ca\/en\/diagnostics\/prostate-hyperplasia\/\"><span style=\"font-weight: 400;\">available treatments<\/span><\/a><span style=\"font-weight: 400;\"> to relieve symptoms include medication, <\/span><a href=\"https:\/\/lescliniquesmaroisurologue.ca\/en\/procedures\/treatment-of-benign-prostatic-hypertrophy-bph\/\"><span style=\"font-weight: 400;\">Rez\u016bm<\/span><\/a><span style=\"font-weight: 400;\"> water-vapour therapy, or transurethral resection of the prostate (TURP). The choice depends on symptom severity and prostate size to improve daily comfort and quality of life.<\/span><\/p>\n<h2><b>Benign Prostatic Hyperplasia: Diagnosis and Decision-Making Criteria<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The diagnosis of benign prostatic hyperplasia (BPH) is made at the Marois Clinics following a comprehensive evaluation. The physician begins by reviewing medical history and discussing urinary symptoms, then performs a rectal examination to estimate prostate size. <\/span><span style=\"font-weight: 400;\">Additional tests may be ordered as needed: uroflowmetry to measure urinary flow, ultrasound to assess prostate volume, cystoscopy to inspect the urethra and bladder, and urodynamic studies to analyse urinary function.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-68897 size-full\" src=\"https:\/\/lescliniquesmaroisurologue.ca\/wp-content\/uploads\/2025\/12\/Screenshot-2025-12-04-at-2.27.31-PM.png\" alt=\"\" width=\"1200\" height=\"798\" srcset=\"https:\/\/lescliniquesmaroisurologue.ca\/wp-content\/uploads\/2025\/12\/Screenshot-2025-12-04-at-2.27.31-PM.png 1200w, https:\/\/lescliniquesmaroisurologue.ca\/wp-content\/uploads\/2025\/12\/Screenshot-2025-12-04-at-2.27.31-PM-300x200.png 300w, https:\/\/lescliniquesmaroisurologue.ca\/wp-content\/uploads\/2025\/12\/Screenshot-2025-12-04-at-2.27.31-PM-1024x681.png 1024w, https:\/\/lescliniquesmaroisurologue.ca\/wp-content\/uploads\/2025\/12\/Screenshot-2025-12-04-at-2.27.31-PM-768x511.png 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">This process helps determine the type and severity of symptoms and their impact on quality of life\u2014key information for guiding treatment decisions. <\/span><span style=\"font-weight: 400;\">Treatment follows a stepwise approach, starting with the least invasive options, such as medication, to relieve symptoms while limiting risks. <\/span><span style=\"font-weight: 400;\">If symptoms persist or worsen, more direct interventions such as Rez\u016bm water-vapour therapy or TURP may be recommended. <\/span><span style=\"font-weight: 400;\">This progressive approach allows treatment to be tailored to each patient, considering not only symptom severity but also the main goal: improving comfort and overall quality of life.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Medication: A Common First Step<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Medication is the first-line treatment for benign prostatic hyperplasia in cases of mild to moderate symptoms and moderate prostate size. There are two main classes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Alpha-blockers:<\/b><span style=\"font-weight: 400;\"> relax the muscles of the prostate and bladder neck, improving urinary flow quickly.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>5-alpha-reductase inhibitors:<\/b><span style=\"font-weight: 400;\"> act more slowly and require more time to reduce prostate volume and improve symptoms.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Treatment is non-invasive and straightforward, without the need for hospitalization.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medication can cause side effects such as low blood pressure, sexual dysfunction or fatigue. Effectiveness varies based on the degree of obstruction. Regular monitoring of symptoms is essential. If symptoms persist, a more direct treatment may be considered.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Rez\u016bm at Marois Clinics: A Minimally Invasive Treatment<\/b><\/h2>\n<p><a href=\"https:\/\/lescliniquesmaroisurologue.ca\/en\/procedures\/treatment-of-benign-prostatic-hypertrophy-bph\/\"><span style=\"font-weight: 400;\">Rez\u016bm therapy<\/span><\/a><span style=\"font-weight: 400;\"> uses natural thermal energy\u2014water vapour. Injected directly into the prostate tissue to block urine flow, it gradually reduces prostate volume. This targeted process helps open the urinary passage while preserving surrounding tissues.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-68899 size-full\" src=\"https:\/\/lescliniquesmaroisurologue.ca\/wp-content\/uploads\/2025\/12\/Screenshot-2025-12-04-at-2.28.39-PM.png\" alt=\"\" width=\"958\" height=\"946\" srcset=\"https:\/\/lescliniquesmaroisurologue.ca\/wp-content\/uploads\/2025\/12\/Screenshot-2025-12-04-at-2.28.39-PM.png 958w, https:\/\/lescliniquesmaroisurologue.ca\/wp-content\/uploads\/2025\/12\/Screenshot-2025-12-04-at-2.28.39-PM-300x296.png 300w, https:\/\/lescliniquesmaroisurologue.ca\/wp-content\/uploads\/2025\/12\/Screenshot-2025-12-04-at-2.28.39-PM-768x758.png 768w\" sizes=\"auto, (max-width: 958px) 100vw, 958px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">The procedure is short and performed in the clinic under local anaesthesia. It usually takes only a few minutes, and the patient goes home the same day. Recovery is quick, with a return to normal activities shortly afterward. <\/span><span style=\"font-weight: 400;\">Rez\u016bm is minimally invasive, carries limited risks, causes little postoperative discomfort, and preserves sexual function. It is ideal for men for whom medication is insufficient but who wish to avoid major surgery.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Transurethral Resection of the Prostate (TURP): A Traditional Surgical Option<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">This surgical procedure is commonly performed in hospitals. It involves removing the portion of the prostate obstructing urinary flow by entering through the urethra, without external incisions. The goal is to clear the urinary channel and improve flow. <\/span><span style=\"font-weight: 400;\">This technique is generally recommended when the prostate is large, urinary symptoms are significant, or medication or Rez\u016bm have not provided satisfactory results. <\/span><span style=\"font-weight: 400;\">TURP remains a reference treatment thanks to its long-lasting effectiveness, supported by decades of clinical studies. It provides consistent and stable relief for most patients.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, it requires a short hospital stay and a recovery period. Like any intervention, it carries minimal potential risks such as ejaculatory changes, temporary incontinence, or urinary infection. <\/span><span style=\"font-weight: 400;\">Technological advances have increased the precision and safety of this surgery. Several variants of TURP now exist, including the use of different devices or laser energy depending on prostate size.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At Marois Clinics, <\/span><a href=\"https:\/\/lescliniquesmaroisurologue.ca\/en\/\"><span style=\"font-weight: 400;\">the technique is chosen based<\/span><\/a><span style=\"font-weight: 400;\"> on prostate volume.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><b>Strategic Comparison<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">To help clarify the advantages and limitations of each option, the table below compares the most relevant clinical criteria when choosing a treatment for prostate enlargement.<\/span><\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td><b>Criterion<\/b><\/td>\n<td><b>Medication<\/b><\/td>\n<td><b>Rez\u016bm<\/b><\/td>\n<td><b>TURP<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Patient profile<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Mild to moderate symptoms, medium-sized prostate, prefers a non-invasive option<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Patients for whom medication is insufficient and who want to avoid major surgery<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Larger prostate, severe symptoms, failure of less invasive options<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Symptom severity<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Mild to moderate<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Moderate to severe<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Severe or resistant to previous treatments<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Prostate volume<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Small to medium<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Small to medium<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Medium to large<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Recovery<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Fast, outpatient treatment<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Fast, return to activities in a few days<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Longer recovery and hospital stay required<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Risk tolerance<\/b><\/td>\n<td><span style=\"font-weight: 400;\">Possible but limited side effects<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Low and temporary risks<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Higher surgical risks (bleeding, ejaculatory changes), but maximum effectiveness<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><\/h2>\n<p><span style=\"font-weight: 400;\">The choice of the optimal treatment always depends on a personalized assessment performed by the urologist at Marois Clinics in Montr\u00e9al, on the South Shore, in Joliette, Greater Montr\u00e9al, Laval, and Qu\u00e9bec City. This assessment considers overall health, prostate volume, and patient expectations to determine the most appropriate approach.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Benign Prostatic Hyperplasia: Medication, Laser, or Surgery In men over 50, the prostate can enlarge and cause bothersome urinary symptoms such as a weak stream, frequent urges to urinate, and the sensation of incomplete bladder emptying. In Canada, available treatments to relieve symptoms include medication, Rez\u016bm water-vapour therapy, or transurethral resection of the prostate (TURP). [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":68898,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[18],"tags":[],"class_list":["post-68924","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/lescliniquesmaroisurologue.ca\/en\/wp-json\/wp\/v2\/posts\/68924","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lescliniquesmaroisurologue.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lescliniquesmaroisurologue.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lescliniquesmaroisurologue.ca\/en\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/lescliniquesmaroisurologue.ca\/en\/wp-json\/wp\/v2\/comments?post=68924"}],"version-history":[{"count":0,"href":"https:\/\/lescliniquesmaroisurologue.ca\/en\/wp-json\/wp\/v2\/posts\/68924\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lescliniquesmaroisurologue.ca\/en\/wp-json\/wp\/v2\/media\/68898"}],"wp:attachment":[{"href":"https:\/\/lescliniquesmaroisurologue.ca\/en\/wp-json\/wp\/v2\/media?parent=68924"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lescliniquesmaroisurologue.ca\/en\/wp-json\/wp\/v2\/categories?post=68924"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lescliniquesmaroisurologue.ca\/en\/wp-json\/wp\/v2\/tags?post=68924"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}