Men with more severe symptoms are likely to benefit from active treatment. The most effective treatment for severe symptoms is surgery. The effectiveness of balloon dilatation is doubtful. The effectiveness of other surgical treatments, including laser prostatectomy and thermal ablation is not clear. These treatments should be given in the context of a clinical trial.
Drug treatments produce some benefit to some men.
One of the main conclusions of the Bulletin is that because each type of treatment involves a different balance of risks and benefits, patients should be encouraged to participate in making decisions about their management. New DEC reports DEC reports are supplied without cost to decision-makers in the South and West Region. Outside the Region the reports are available only via the World Wide Web . Approximately half of the early cases are recognised under the present system of opportunistic screening. Systematic screeningwould detect asymptomatic, undiagnosed cases of glaucoma.