Raevti Bole, MD, on considerations when weighing nonsurgical BPH treatments

In this video, Raevti Bole, MD, discusses key considerations when selecting the most appropriate nonsurgical treatment option for a patient with benign prostatic hyperplasia (BPH). At the 2024 Sexual Medicine Society of North America Fall Scientific Meeting, Bole presented the talk “Updates in Nonsurgical BPH Management.” She is a urologist at Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland, Ohio.

Transcription:

What are the key considerations when selecting the most appropriate nonsurgical treatment option for a patient with BPH?

I think patient preference is going to be the most important thing here. This is going to have to be a patient who specifically doesn't mind taking a medication, because of course, you're going to have to keep taking them every day if you want to continue seeing the effect. And it's someone who doesn't want to go forth with something more definitive or procedural. Within the medication realm, we have a number of different options. The things that are going to be important for me to know about my patient are going to be, how do they respond to the possibility of different side effects? For example, certain medications have sexual side effects, which can be very bothersome to some people, and for some people, it's not as much of an issue. Other things that can really affect whether someone's able to take a medication long term is something like cost or availability. If you know that you're going to have to take a medication every day for the next 10 to 20 years, it's got to be something that's feasibly affordable, and probably covered by your insurance. And so that's something that I always want to know as well. Just because I think a medication is great, it's got to be something that's reasonable for my patient.

This transcript was AI generated and edited by human editors for clarity.