- Modern Management of Bladder Outflow Obstruction (BOO) in Men
- Benign prostatic hyperplasia (BPH), also known as bladder outflow obstruction (BOO), is common in men over 50
- Typical urinary symptoms include:
- Weak or slow urinary stream
- Nocturia (night-time urination)
- Hesitancy when starting urination
- Urgency
- Sensation of incomplete bladder emptying
- If left untreated, BOO may lead to:
- Poor sleep and daytime fatigue
- Increased falls risk in older adults
- Urinary retention
- Recurrent urinary tract infections
- Reduced quality of life
- Some men also present with additional concerns requiring assessment, such as:
- Raised PSA levels
- Worries about prostate cancer
- Visible blood in the urine
- Personalised, Modern Approach to Care
- Comprehensive assessment and evidence-based treatment planning
- Access to both non-invasive and surgical treatment options
- Care tailored to individual symptoms, prostate size, and patient preference
- Onsite diagnostics at Nuffield Health Tunbridge Wells, including:
- MRI prostate imaging
- Non-Invasive Flow testing
- Endoscopic (camera) assessment (where needed)
- A Full Range of Treatment Options – What Has Changed in 2025
- Medical Therapy
- First-line treatments may include:
- Alpha-blockers
- 5-alpha reductase inhibitors
- Newer combination approaches may include:
- Tadalafil
- Overactive bladder medications
- Improved management of nocturnal polyuria using desmopressin, particularly beneficial for elderly patients
- Minimally Invasive Surgical Options
- UroLift® System
- Day-case procedure
- No cutting or heating of prostate tissue
- Preserves continence and sexual function
- Rapid recovery and return to normal activities
- Suitable for:
- Younger men
- Older or frail patients
- Those wishing to avoid traditional surgery
- Holmium Laser Enucleation of the Prostate (HoLEP)
- Ideal for men with:
- Larger prostates
- Catheter dependence
- Key benefits:
- Highly effective long-term symptom relief
- Minimal bleeding
- Low retreatment rate
- Suitable for patients on anticoagulation
- Significantly reduces the need for long-term catheterisation
- Recent advances and publications from Mr Henderson and his clinical team mean:
- Up to 50% of HoLEP patients can now be discharged as day-surgery cases
- Specialist Urology Care in Tunbridge Wells
- Direct GP and clinician referrals are possible and patients can book direct via the contact page or the Nuffield Health Website
- Informal professional discussions available
- Early specialist involvement can:
- Prevent repeated GP visits
- Reduce emergency admissions
- Shorten duration of patient discomfort