Clinical summary guide

Prostate disease

9 min

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Benign Prostatic Hyperplasia

The GP’s role (BPH)

Overview (BPH)

Diagnosis (BPH)

Urinary symptoms of BPH

Some men with BPH may not present with many or any symptoms of the disease.

Management (BPH)

5α-reductase-inhibitors (5ARIs)

Combination therapy

Other drugs

Phosphodiesterase type 5 inhibitors (PDE5Is) use is best for men with LUTS and erectile dysfunction (low-dose PDE5Is cost the same as alpha blockers)

PDE5Is used in combination with an α-blocker may be more effective than α-blocker alone.

Urologist referral


Indications for surgery are similar to the indications for referral to a urologist.  Surgery can be considered when medications are no longer suitable for whatever reason. Cessation of medication therapy usually results in recurrence of symptoms. 

There are multiple operations available. The gold standard operation is a transurethral resection of the prostate (TURP). There are however numerous operations that are available. Each have their pros and cons.

Follow-up (BPH)

Table: Recommended follow-up timeline after BPH treatment


The GP’s role (Prostatitis)

Overview (Prostatitis)

Diagnosis (Prostatitis)

Management (Prostatitis)

Bacterial prostatitis (acute and chronic) can be treated using antibiotics. Once diagnosed, rapid treatment is essential to avoid further complications. 

Acute bacterial prostatitis often occurs with cystitis.

Chronic nonbacterial prostatitis (chronic prostate pain syndrome); treatment is difficult and cure is often not possible. Treatment focus is on symptom management, to improve quality of life. Non-medical therapy is recommended as the initial treatment. 

For chronic prostatitis/chronic pelvic pain syndrome, the UPOINT system can aid management.

Medication options

Surgery (eg. TURP/TUIP) has a very limited role and requires an additional, specific indication (e.g. prostate obstruction, prostate calcification). 

Referral (Prostatitis)

Follow-up (Prostatitis)

Clinical review

Dr Matthew Roberts, University of Queensland

Prostate disease

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