How to Choose the Best BPH Treatment: UroLift, Rezūm, Aquablation & Expert Advice from Dr. Utsav Bansal

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•* How to match the right patient to the right BPH procedure without overpromising





In this episode of Pearls & Perspectives, host Amy Pearlman, MD, sits down with Utsav Bansal, MD, a Miami, Florida-based urologist who brings both surgical expertise and thoughtful pragmatism to the evolving field of benign prostatic hyperplasia (BPH) management. Drawing from his broad clinical experience, Bansal unpacks how to personalize treatment plans in a therapeutic landscape now filled with minimally invasive and surgical options.

The conversation explores how to develop procedural versatility while maintaining focus on patient-centered decision-making. Bansal emphasizes shared decision-making as the foundation of BPH care—ensuring that lifestyle factors, prostate size, and patient priorities guide treatment choices, whether it’s medical therapy, UroLift, Rezūm, or more definitive procedures like Aquablation or enucleation.




Key topics include:

• How to match the right patient to the right BPH procedure without overpromising

• The importance of investing in a select number of procedures—and doing them well

• Lessons learned from high-volume centers, and how to translate them into community-based care

• The future of BPH innovation and how newer technologies can improve quality of life without increasing provider burnout

• Why managing patient expectations and setting clear follow-up protocols are critical for long-term succes
s




Whether you’re an early-career urologist or looking to expand your BPH offerings, Bansal delivers practical insights on how to build a sustainable, high-value BPH practice that adapts to both new tools and timeless patient needs.
 

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HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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