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BPH Patient Education Seminar Learn about Enlarged Prostate Solutions. Presented by {Physician Name}. Understanding the Prostate. Bladder. Rectum. Pubic Bone. Prostate. Urethra. Penis. Testes. Common Symptoms of Prostate Disorders. Increased frequency of urination especially at night

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slide1

BPH Patient Education Seminar

Learn about Enlarged Prostate Solutions

Presented by {Physician Name}

understanding the prostate
Understanding the Prostate

Bladder

Rectum

Pubic Bone

Prostate

Urethra

Penis

Testes

common symptoms of prostate disorders
Common Symptoms of Prostate Disorders
  • Increased frequency of urination especially at night
  • Sudden or urgent need to urinate
  • Painful or difficult urination
  • Slow flow of urine and difficulty in stopping
  • Terminal dribbling or leaking
  • Incomplete emptying of the bladder
protecting your prostate
Protecting Your Prostate
  • High levels of stress, obesity cigarette smoking and inactivity have all been linked with increased risk of prostate disease1
    • Reduce stress
    • Eat healthy
    • Keep active
    • Quit smoking/tobacco use
assessing your prostate health
Assessing Your Prostate Health
  • Begin regular prostate exams at age 50 (or sooner if you are experiencing symptoms or have high-risk factors)
  • Know your Urology numbers
    • AUASSis the American Urological Association Symptom Score demonstrates symptom severity of BPH
    • Prostate Specific Antigen (PSA) indicates issues with the prostate including cancer
    • Testosterone Level is central to a man’s sex drive, energy level, muscle strength and bone density
common disorders
Common Disorders
  • Prostatitis - Swelling or infection of the prostate gland
  • Low Testosterone - decreased functional activity of the testes
  • Erectile Dysfunction – Inability to maintain an erection sufficient for satisfying sexual activity
  • Benign Prostatic Hyperplasia – Enlargement of the prostate gland
  • Prostate Cancer - Malignant (cancerous) cells form in the prostate tissue
enlarged prostate most common condition
Enlarged Prostate: Most Common Condition
  • BPH is in the top 10 of the most commonly diagnosed diseases in men over the age of 502
  • 50%+ of men in their 50s experience BPH symptoms3
  • 90% of men in their 70s and 80s experience BPH symptoms3
what is benign prostatic hyperplasia bph
What is Benign Prostatic Hyperplasia(BPH)?
  • Prostate cells begin to increase in number
  • Compresses the urethra making it difficult to urinate
  • Not cancerous or life threatening
  • Can be very bothersome and impact quality of life
  • Can progress to more serious conditions
  • Very common in men over 50 and advances with age
normal male anatomy
Normal Male Anatomy

Bladder

Prostate Gland

Urethra

male anatomy with enlarged prostate
Male Anatomy with Enlarged Prostate

Bladder

Blocked Urethra

Enlarged Prostate Gland

bph signs and symptoms
BPH Signs and Symptoms
  • Waking at night to urinate
  • Frequent urination
  • Sudden, uncontrollable urges to urinate
  • Straining to start urinate
  • Weak urine flow
  • Dribbling after urination
  • Feeling bladder is not completely empty
  • Pain during urination
potential medical consequences of bph
Potential Medical Consequences of BPH
  • Urinary retention
  • Urinary tract infections
  • Bladder stones
  • Blood in the urine
  • Incontinence
  • Decreased kidney function

Derived from Benign enlargement of prostate. ADAM Health Illustrated Encyclopedia. www.healthline.com/adamcontent/enlarged-prostate. Accessed Oct. 21, 2010

physician evaluation
Physician Evaluation
  • Physical exam
  • Symptom score rate
  • Urinalysis
  • Serum PSA
  • Flow Rate
  • Post-Void Residual
treatment options
Treatment Options

Watchful Waiting

Medication

In-Office Therapy

Surgery

watchful waiting
Watchful Waiting
  • Symptoms are fairly mild or not bothersome
  • Ongoing assessments once or twice a year
    • Monitor symptom progression
    • Check disease progression
    • Check for infection and kidney/bladder stones
herbal supplements
Herbal Supplements
  • Not recommended by the American Urological Association4
    • No evidence of efficacy4
    • May increase your risk of bleeding or interfere with other medications you're taking4
  • Most popular supplements
    • Saw palmetto extract
    • Beta-sitosterol extracts
    • Pygeum
    • Ryegrass extract
    • Stinging nettle extract
drug therapy
Drug Therapy
  • Potential Options
    • Alpha-blockers
    • 5-ARIs
    • Combination Therapy
  • Benefits
    • Simple to use
    • Does not require surgery or a hospital stay
    • Fast symptom relief (Alpha-blockers)
surgery
Surgery
  • Potential Options
    • Transurethral Resection of the Prostate (TURP)
    • Laser (PVP, Holap)
  • Benefits
    • Effective for treatment of BPH symptoms
    • Long track record of success
aua guidelines
AUA Guidelines

Patient Assessment & Testing

Mild Symptoms?

AUASS <= 7 Or Not Bothersome

Moderate/Severe Symptoms?

AUASS >= 9 or Bothersome

Discuss Treatment Options

Watchful Waiting

Medical Therapy

In-Office Therapy

Surgery

in office therapy
In-Office Therapy
  • Potential Options
    • Cooled ThermoTherapy™
    • Prostiva® RF Therapy
  • Benefits
    • Significant symptom improvement5,6
    • Completed in urologist office in less than an hour
    • No general anesthesia required
    • Quick return to normal activities
    • Low rate of side effects7,8
drugs most common treatment option
Drugs: Most Common Treatment Option
  • 94% of patients are treated with prescription medications
  • Drugs can be effective, but are not the answer for everyone
    • 48% of patients do not show clinically significant symptom improvement9
    • Medications must be taken for life
    • BPH medications have frustrating side effects
      • Fatigue, Fainting, Dizziness, Sexual Side Effects
    • Prescriptions are expensive
consider in office bph therapy
Consider In-Office BPH Therapy
  • Cooled ThermoTherapy™
    • Targeted heat to reduce excess prostate tissue in large glands7
  • Prostiva® RF Therapy
    • Precisely targeted low-level RF energy for small glands or atypical prostates8
in office therapy advantages
In-Office Therapy Advantages
  • Very effective at relieving symptoms5,6
  • Proven long-lasting results5,6
  • Can eliminate need for chronic medication
  • Lower risk than invasive surgical procedures
  • No hospitalization, general anesthesia or long recovery time
  • Covered by Medicare and many private insurance companies
in office therapy possible side effects
In-Office Therapy – Possible Side Effects
  • Note: This list represents the most commonly reported side effects. Most of these side effects were temporary or mild and required minimal or no medical intervention.
  • Please discuss any questions you may have with your physician. Your physician can also provide you with a comprehensive list of all potential side effects.
during the treatment
During the Treatment
  • Pre-procedure preparation 15-20 minutes
  • Medications given for relaxation and comfort
    • Comfort levels are generally tolerable and reported between a 2-3 on a 10 point pain scale5
    • New prostatic blocks being performed that may eliminate discomfort completely
  • Procedure time usually less than 30 minutes
  • Recovery time generally 15-20 minutes and will include post treatment instructions
after treatment
After Treatment
  • Go home shortly after treatment
  • Urinary catheter or temporary stent may be required for a few days7,8
  • Return to normal activities within 24-48 hours7,8
  • Symptom improvement generally seen within 8 to 10 weeks of the treatment7,8
  • Lasting and significant relief from your symptoms5,6
a winning solution
A Winning Solution
  • Urinary symptoms are a normal part of aging
  • There are treatment options that can help you restore your quality of life – without a lifetime prescription
  • Safe, effective and less invasive therapies are now available in the office!
common questions
Common Questions
  • How comfortable will I be during the procedure?
  • Are the results long-lasting?
  • Are in-office procedures covered by my insurance?
references
References
  • http://www.umm.edu/patiented/articles/what_causes_cell_growth_leading_benign_prostatic_hyperplasia_000071_3.htm#ixzz2R79HHR4H
  • Fenter TC, Naslund MJ, Shah MB, et al. The cost of treating the 10 most prevalent diseases in men 50 years of age or older. Am J Manag Care. 2006;12(4 suppl):S90-S98.
  • National Institute of Diabetes and Digestive and Kidney Diseases. Prostate enlargement: benign prostatic hyperplasia. NIH Publication No. 07-3012. June 2006.
  • http://www.mayoclinic.com/health/prostate-gland-enlargement/DS00027/DSECTION=alternative-medicine
  • Mynderse, L., et al. 5 year Results of a Multi-Center Trial of a New Generation Cooled TUMT for BPH, J Urol. 2011; 185(5):1804-1810
  • Hill, B., et al. Transurethral Needle Ablation vs TURP for the Treatment of Symptomatic BPH: 5 Year Results of a Prospective, Randomized, Multicenter Clinical Trial, J Urol. 2004;171(6 Pt 1):2336-2340
  • Data derived from the CTC Advance® Instructions for Use, 250348 Rev D 08/10
  • Data derived from the Prostiva® RF Therapy System User Guide 8930 CRMRef_R06
  • Wei, et al. High Rates for Continued BPH Medical Therapy among Non responders, AUA2010 Abstract 498

MC1654 Rev B 10/13