Treatment Overview
Anticholinergic medications are used to manage storage symptoms associated with Benign Prostatic Hyperplasia (BPH), such as urinary urgency, frequency, and overactive bladder (OAB). These drugs work by blocking muscarinic receptors in the bladder, reducing involuntary bladder contractions and improving urinary control. In Korea, anticholinergic therapy is widely available at urology clinics and is often combined with other BPH medications like alpha-blockers or 5-ARIs for optimal symptom relief.
Purpose & Benefits
The primary purpose of anticholinergic therapy is to control bladder overactivity and improve quality of life for men with BPH-related storage symptoms. Key benefits include:
- Reduction in urinary urgency and frequency
- Decrease in nocturia (nighttime urination)
- Improved bladder control and reduced incontinence episodes
- Can be combined with alpha-blockers for comprehensive BPH management
- Non-invasive and safe for long-term use under medical supervision
- Helps prevent bladder irritation and overactivity secondary to prostate obstruction
Ideal Candidates
Ideal candidates for anticholinergic BPH medication include:
- Men experiencing predominant storage symptoms such as urgency, frequency, or urge incontinence
- Patients with BPH who continue to have urinary irritation despite alpha-blocker therapy
- Individuals with overactive bladder associated with prostate enlargement
- Men seeking non-surgical management of bladder symptoms
- Patients with no significant post-void residual urine to avoid urinary retention
Possible Risks & Complications
Although generally safe, anticholinergic medications may cause side effects, particularly in older adults:
- Dry mouth
- Constipation
- Blurred vision
- Dizziness or lightheadedness
- Urinary retention in rare cases
- Cognitive impairment in elderly patients (particularly with long-term use)
Techniques & Technology Used
Anticholinergic therapy in Korea involves careful prescription management and monitoring:
- Selection of appropriate anticholinergic agents such as tolterodine, solifenacin, or oxybutynin
- Dose adjustment based on symptom response and tolerance
- Monitoring for urinary retention via bladder scans if needed
- Patient education on hydration, diet, and management of side effects
Treatment Process in Korea
The typical anticholinergic therapy process includes:
- Initial Consultation: Evaluation of urinary symptoms, medical history, and current medications
- Diagnostic Testing: Blood tests, urinalysis, post-void residual measurement, and bladder evaluation
- Prescription: Selection and initiation of appropriate anticholinergic medication
- Follow-Up Monitoring: Symptom assessment within 2–4 weeks, dose adjustments as needed
- Long-Term Management: Combination therapy with alpha-blockers or 5-ARIs if necessary, ongoing follow-up
Recovery & After-Care
Since anticholinergic therapy is non-invasive, recovery involves adjustment to the medication and monitoring for side effects:
- Symptom improvement is typically observed within 2–4 weeks
- Regular follow-up visits monitor urinary function and potential side effects
- Patients are advised to maintain hydration and manage constipation
- Dose adjustments may be made to minimize side effects while maximizing efficacy
- Combination therapy may enhance symptom control in patients with mixed BPH symptoms
Results & Longevity
Anticholinergic medications provide effective relief for storage symptoms of BPH:
- Reduction in urinary urgency, frequency, and incontinence episodes
- Improvement in quality of life and sleep due to decreased nocturia
- Safe for long-term use under medical supervision
- Combination therapy with alpha-blockers or 5-ARIs provides comprehensive symptom management
- Regular monitoring ensures sustained efficacy and safety
Why Korea Is a Top Destination
Korea is a preferred destination for anticholinergic BPH therapy due to:
- Availability of a wide range of anticholinergic medications
- Experienced urologists providing comprehensive assessment and treatment
- Affordable medication costs and healthcare services compared to Western countries
- High-quality care, safety standards, and patient support services for international patients
- Integrated approach combining medications, lifestyle advice, and follow-up care
Cost Range
The cost of anticholinergic medication in Korea varies depending on the drug and treatment duration:
- Monthly cost typically ranges from $30 to $120, depending on brand or generic medication
- Follow-up consultation fees may range from $50–$100 per visit
- Combination therapy with alpha-blockers or 5-ARIs may slightly increase the overall monthly cost
Popular Clinics in Korea
Some of the top clinics providing anticholinergic therapy and BPH management in Korea include:
- Seoul Urology & Andrology Clinic
- JK Male Health Center, Seoul
- Korea Men’s Health Institute, Seoul
- VIP Male Clinic, Gangnam
- Dr. Kim’s Urology Clinic, Busan



