Benign Prostatic Hyperplasia: Diagnostic and Therapeutic Problems

Abstract

The reliability and importance of diagnostic ultrasound and urodynamics in benign prostatic hyperplasia is emphasised, while pointing out the limits of medical treatment. Surgery is still the golden standard, despite a high percentage of patients who are “unsatisfied” even though the obstruction has been removed. These cases always present hyperreflexia and alterations of detrusor normal anatomy.