BPH with Renal Insufficiency or Refractory Urinary Retention: When Surgery Is Indicated

Clinical Scenario

When benign prostatic hyperplasia produces serious downstream complications, surgical intervention becomes the recommended course of action. This protocol addresses patients in whom BPH has given rise to one or more of the following:

Renal insufficiency secondary to BPH
Refractory urinary retention secondary to BPH
Recurrent urinary tract infections due to BPH
Recurrent bladder stones due to BPH
Gross hematuria due to BPH

Approach

Surgical therapy is the recommended approach in this setting. The full protocol defines a range of established operative options, with selection determined by prostate volume, anatomical considerations, and clinician expertise.

The complete structured regimen — including the full procedure selection algorithm — is available via the protocol below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1097/JU.0000000000003698

Surgery is recommended for patients who have renal insufficiency secondary to BPH, refractory urinary retention secondary to BPH, recurrent urinary tract infections (UTIs), recurrent bladder stones or gross hematuria due to BPH, and/or with LUTS/BPH refractory to or unwilling to use other therapies.

View source ↗