Current Urology Reports

, 20:45 | Cite as

Cost Comparison of Benign Prostatic Hyperplasia Treatment Options

  • Molly E. DeWitt-FoyEmail author
  • Bradley C. Gill
  • James C. Ulchaker
Benign Prostatic Hyperplasia (K McVary, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Benign Prostatic Hyperplasia


Purpose of Review

To provide an economic context within which to consider treatment options for benign prostatic hyperplasia (BPH). To this end, this review provides a comparison of the costs of combination medical therapy, operative treatment, and office-based therapies for BPH from a payer perspective.

Recent Findings

Analysis of Medicare charges from the authors’ institution, as well as local retail costs of medication, demonstrated a wide range in costs of commonly used BPH treatments. In this study, interventions for BPH reached cost equivalence with combination medical therapy within 6 months to 8 years.


A myriad of options for managing men with symptomatic BPH exist. It is prudent not only to consider surgeon preference and patient-specific factors when selecting a treatment but also to understand the economic impact different BPH therapies confer.


Benign prostatic hyperplasia Lower urinary tract symptoms Cost analysis Medication therapy management 


Compliance with Ethical Standards

Conflict of Interest

Molly E. DeWitt-Foy and Bradley C. Gill each declare no potential conflicts of interest.

James C. Ulchaker reports personal fees from Boston Scientific and Foretc Medical.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Molly E. DeWitt-Foy
    • 1
    • 2
    Email author
  • Bradley C. Gill
    • 1
    • 2
    • 3
  • James C. Ulchaker
    • 1
    • 2
  1. 1.Department of Urology, Glickman Urological and Kidney InstituteCleveland ClinicClevelandUSA
  2. 2.Lerner College of Medicine, Education InstituteCleveland ClinicClevelandUSA
  3. 3.Department of Biomedical Engineering, Lerner Research InstituteCleveland ClinicClevelandUSA

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