Does a prostate enlargement have to be treated in every case and if so, how?
In principle, a distinction is made between a conservative approach, which includes regular check-ups, medication therapy, and surgical treatment.
Whether and in what way the symptoms arising in connection with benign prostate enlargement are treated depends, on the one hand, on the objective findings and, on the other, on the patient's individual level of suffering.
If the symptoms are minor (IPSS up to 7 points), there is no need for treatment. Annual check-ups are sufficient.
In the case of more moderate problems and predominantly urge symptoms, the focus will be on medication therapy.
If the prostate is significantly enlarged, causing problems with emptying the bladder, surgery is often necessary.
As an alternative treatment to surgery, prostate artery embolisation (PAE) is increasingly becoming the focus of attention. Read a critical report about this procedure here.