How to Treat BPH?
Podcast Series

In our Benign Prostate Hyperplasia (BPH) podcast series we ask experts from around the globe to discuss and to share their experiences and opinions about BPH treatment options, ranging from minimally invasive ones - Water Vapour Therapy - to surgical solutions like photoselective vaporisation of the prostate (PVP) and anatomical endoscopic enucleation of the prostate (AEEP).


Episode 4: BPH treatment considerations for high risk patients

Dr H. Cash & Dr M. Kosiba

How to define high risk patients? What treatment options exist for these patients and how to decide which one is the most adapted? In the 4th episode of our BPH podcast series, Dr Hannes Cash, Berlin, gives his point of view and shares his clinical experience. Dr Cash describes how he usually checks the patients’ situation and comorbidities but also the important role played by the anaesthesist . “The decisive factor, I think, is what I then do, which is really to seek discussion and dialogue with the anaesthesist, to clarify in advance whether the patient is at all capable of being anaesthetized.”

Role of patient treatment selection process

PD Dr Hannes Cash
Berlin, Germany
Studied in Germany & Canada

Dr Marina Kosiba
Frankfurt, Germany
Studied in Germany & Canada


BPH Podcast Series

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Episode 3: Role of the Patient in the BPH Treatment Selection Process

Dr J. Ebbing & Dr M. Kosiba

In the third episode of our BPH podcast series, Dr Ebbing, Basel, explains how his centre offers a patient-centric therapy approach, taking into consideration the individual needs of the patients. Patients with BPH, today, as he observes, are more informed about available treatment options. “These are, for example, men who have the desire for sexual function preservation, namely the younger, sexually active men, who then ask for a procedure to preserve ejaculation."

Role of patient treatment selection process

Dr Jan Ebbing
University Hospital, Basel, Switzerland
Studied in Germany & Australia

Dr Marina Kosiba
Frankfurt, Germany
Studied in Germany & Canada


Episode 2: Challenges and Opportunities for Patients in the Post-COVID Era

Dr K. Saeb-Parsy & Dr F. Kum

Dr Saeb-Parsy, Cambridge, highlights the impact of the COVID pandemic on waiting lists for patients with lower urinary tract symptoms (LUTS). In the second episode of the BPH podcast series, he explores implemented solutions and considerations for categorizing patients based on urgency. Addressing the backlog, he emphasizes the need for smart and efficient approaches while prioritising patient safety. Dr Saeb-Parsy highlights the importance of understanding patients' post-procedure goals for quality of life and providing comprehensive advice to manage expectations.

Benign Prostate Hiperplasia Podcast Series · LUTS Patients in the Post-COVID Era: Challenges and Opportunities for Treatment
This podcast material is for informational purposes only and and not meant for medical diagnosis. This information does not constitute medical or legal advice, and Boston Scientific makes no representation regarding the medical benefits included in this information. Boston Scientific strongly recommends that you consult with your physician on all matters pertaining to your health.
This podcast was produced in cooperation with Mr Saeb-Parsy and Mrs Kum. Results from case studies are not predictive of results in other cases. Results in other cases may vary.

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Episode 1 | What Do Patients Want?

Dr M. Margreiter & Dr M. Kosiba

What are the primary concerns of patients with BPH when they arrive at your practice? What are the patient selection criteria for Rezūm™ Water Vapour Therapy, and how do you recommend guiding patients towards the most suitable option? How do you explain and prepare eligible patients for Rezūm™ Water Vapour Therapy?
Additionally, what pre- and postoperative elements should patients be aware of? Dr Markus Margreiter addresses these and many other questions regarding the treatment of Benign Prostate Hyperplasia (BPH) and patient communication in this exclusive first podcast episode.

The treatment selection  paradigm in BPH is evolving

PD Dr Markus Margreiter, USMLE, FEBU, FECMS
Vienna, Austria
Studied in Austria, USA & Germany

Dr Marina Kosiba
Frankfurt, Germany
Studied in Germany & Canada



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2. Elmansy HM, Kotb A, Elhilali MM. Holmium laser enucleation of the prostate: long-term durability of clinical outcomes and complication rates during 10 years of followup. J Urol. 2011;186(5):1972–1976.
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4. McVary KT, Rogers T, Roehrborn CG. Rezūm Water Vapor Thermal Therapy for Lower Urinary Tract Symptoms Associated With Benign Prostatic Hyperplasia: 4-Year Results From Randomized Controlled Study. Urology. 2019;126:171–179.
5. McVary KT, Gittelman MC, Goldberg KA, et al. Final 5-Year Outcomes of the Multicenter Randomized Sham-Controlled Trial of a Water Vapor Thermal Therapy for Treatment of Moderate to Severe Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia. J Urol. 2021:206(3):715–724.
6. NICE Guidance. https://www.nice.org.uk/guidance/mtg74. Accessed in July 2023.
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8. McVary KT, El-Arabi A, Roehrborn C. Preservation of Sexual Function 5 Years After Water Vapor Thermal Therapy for Benign Prostatic Hyperplasia. Sex Med. 2021 Oct 30;9(6):100454.
9. Tallman CT, Zantek PF, Hernandez N, et al. Effectiveness of convective water vapor energy therapy versus prostatic urethral lift for symptomatic benign prostatic hyperplasia: a systematic review and indirect comparison. World J Urol. 2021 Sep;39(9):3207-1

10. Neeser K, Chughtai B, Rojanasarot S, et al. Cost-effectiveness of Convective Water Vapor Energy Therapy Compared to Prostatic Urethral Lift for Treatment of Benign Prostatic Hyperplasia. Presented at ISPOR Europe 2019. Copenhagen, Denmark. November 2-6, 2019.

11. Woo et al. Outcome of GreenLight HPS 120-W laser therapy in specific patient populations: those in retention, on anticoagulants, and with large prostates (I 80 ml). European Urology Supplements 7: 378–383, 2008.

12. Thomas JA, Tubaro A, Barber N, et al. A Multicenter Randomized Noninferiority Trial Comparing GreenLight-XPS Laser Vaporization of the Prostate and Transurethral Resection of the Prostate for the Treatment of Benign Prostatic Obstruction: Two-yr Outcomes of the GOLIATH Study. Eur Urol. 2016 Jan;69(1):94-102.

13. Rajih E, Tholomier C, Hueber PA, et al. Evaluation of surgical outcomes with photoselective GreenLight XPS laser vaporization of the prostate in high medical risk men with benign prostatic enlargement: a multicenter study. J Endourol. 2017 Jul;31(7):686-93.​

14. Bachmann A, Tubaro A, Barber N, et al. 180W XPS GreenLight Laser Vaporization Versus Transurethral Resection of the Prostate for the Treatment of Benign Prostatic Obstruction: 6-Month Safety and Efficacy Results of a European Multicentre Randomized Trial – The GOLIATH Study. Euro Urol May 2014; 65(5): 931-942.

15. Tan AH, Gilling PJ, Kennett KM, et al. A randomized trial comparing holmium laser enucleation of the prostate with transurethral resection of the prostate for the treatment of bladder outlet obstruction secondary to benign prostatic hyperplasia in large glands (40 to 200 grams). J Urol. 2003:170(4 Pt 1):1270–1274.

16. Data on file with Boston Scientific: AMS™ GreenLight XPS™ Laser System System Operator’s Manual: Indications for Use.

17. Bajic P, et al., A Simplified Technique for GreenLight Laser Enucleation of the Prostate, Urology. 2019 Jan;123:293-294. doi: 10.1016/j.urology.2018.09.031. Epub 2018 Oct 9.

18. Gravas S (Chair), Cornu JN, Drake MJ, et al. EAU Guidelines on Management of Non-Neurogenic Male Lower Urinary Tract Symptoms (LUTS), incl. Benign Prostatic Obstruction (BPO). EAU Guidelines Office, Arnhem, The Netherlands. 2022. Available at: https://uroweb.org/guidelines/management-of-non-neurogenic-male-luts [Accessed April 2022].