Surgical management for benign prostatic hyperplasia: Indications, techniques, and results
- 1 January 1989
- journal article
- review article
- Published by Wiley in The Prostate
- Vol. 15 (S2) , 79-93
- https://doi.org/10.1002/pros.2990150509
Abstract
Diagnostic possibilities have improved with urodynamic studies and rectal ultrasound. Many more patients with benign prostatic hyperplasia (BPH) need urodynamic investigation because 25% of men with symptoms have no prostatic obstruction. Ultrasound is quite accurate in choosing the proper surgical technique. Open prostatectomy has largely been replaced by transurethral prostate resection (TURP). One reason is better surgical equipment, but another is that patients come earlier with smaller prostates. For obstructive prostates less than 20 g, transurethral incision (TUI) of the prostate is indicated. The results are as good as those of TURP. Primary success rates for TURP, TUI, and open prostatectomy are good, but in long‐term follow‐up studies, 10–25% of the patients have secondary procedures after 5–10 years.Keywords
This publication has 27 references indexed in Scilit:
- Watchful Waiting vs Immediate Transurethral Resection for Symptomatic ProstatismPublished by American Medical Association (AMA) ,1988
- Use of Claims Data Systems to Evaluate Health Care OutcomesJAMA, 1987
- Natural history of benign prostatic hypertrophyUltrasound in Medicine & Biology, 1986
- Some Clinical Aspects of Uroflowmetry in Elderly Males:A Population SurveyScandinavian Journal of Urology and Nephrology, 1986
- The Development of Human Benign Prostatic Hyperplasia with AgeJournal of Urology, 1984
- Psychosexual Counseling Informed ConsentPublished by Springer Nature ,1983
- Suprapubic ProstatectomyPublished by Springer Nature ,1983
- Surgical Pathology of Benign Prostatic HyperplasiaPublished by Springer Nature ,1983
- Significance of Prostatic Weight in ProstatismUrologia Internationalis, 1983
- The Natural History of Untreated “Prostatism”British Journal of Urology, 1981