Botox for BPH

BOTOX, a revolutionary advancement in wrinkle management, has been a topic of conversation as a treatment for BPH (Enlarged Prostate). BOTOX, also known as botulinum toxin type A, works to eliminate wrinkles by blocking the communication between nerves and muscles. The result is that the affected muscle is essentially paralyzed, improving the aesthetics of wrinkles in the treated area.1 The same theory has been postured for BPH. By possibly weakening some of the muscles in and around the prostate, bothersome symptoms may be improved.

A 2010 Northwestern University Phase II study authored by Dr. Kevin T. McVary explored the potential for BOTOX as a therapeutic option in 108 men.2 There were several obvious benefits including a reduced AUA symptom score and increased flow. However there were several interesting considerations that this study highlighted:

  • BOTOX is not FDA approved for the treatment of BPH
  • The treatment does not shrink the prostate, rather it only alleviates symptoms
  • Between 25 and 30 percent of men did not respond to the treatment at all
  • The procedure will likely have to be repeated (the study showed results only through 1 year)

BPH In-Office Therapy is a recommended treatment option by the American Urology Association and has been approved by the FDA for the treatment of BPH symptoms.  Both treatments destroy excess prostatic tissue creating safe, effective and durable symptom relief.  These procedures are non-surgical treatment options that are performed in the urologist’s office generally in less than an hour. Patients can to return home shortly after the procedure has been completed and will start to see symptom relief within a few weeks of treatment.

With these considerations in mind, a patient and their urologist must make the final decisions as to the best course of action for their enlarged prostate condition. Options from medication to minimally invasive in office therapies to surgery can all be discussed during this consultation.

2Urology Times: http://urologytimes.modernmedicine.com/urology-times/news/modernmedicine/modern-medicine-news/mens-luts-markedly-improve-botulinum-toxin