No, we only recommend treatment in patients that have a pronounced symptom that alters their quality of life (factors that are evaluated by the I-PSS questionnaire), complications from urine retention, bladder stones, recurring urinary tract infections, blood in the urine, or, less frequently, impaired renal function. A large prostate does not necessarily mean that treatment should be started.

Selection of appropriate treatment, whether it be pharmacological or surgical, will depend on the severity of the patient’s symptoms. Accordingly, early diagnosis allows for conservative treatment, while a late diagnosis exhibiting severe symptoms usually requires more aggressive treatment.