Endourologic Procedures for Benign ProstaticHyperplasia: Review of Indications and Outcomes
PURPOSE: To discern the positive and negative attributes of the varioustreatment modalities for benign prostatic hyperplasia.MATERIALS AND METHODS: A comprehensive literature review is presentedfor endoscopic treatment of the bladder outlet obstruction with an emphasison current randomized controlle...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
2011-09-01
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| Series: | Urology Journal |
| Subjects: | |
| Online Access: | http://www.urologyjournal.org/index.php/uj/article/view/1126/561 |
| Summary: | PURPOSE: To discern the positive and negative attributes of the varioustreatment modalities for benign prostatic hyperplasia.MATERIALS AND METHODS: A comprehensive literature review is presentedfor endoscopic treatment of the bladder outlet obstruction with an emphasison current randomized controlled trials available comparing these treatmentmodalities.RESULTS: Transurethral resection of the prostate remains the gold standardwhen assessing alternative treatment options available for benign prostatichyperplasia. Holmium laser enucleation of the prostate demonstratesequivalent efficacy with a more favorable risk profile. Photo selective vaporization, transurethral needle ablation, and transurethral microwavetherapy have demonstrated safety and short-term efficacy; however, data onlong-term efficacy are currently lacking.CONCLUSION: The current endoscopic methods may offer favorable safetyand efficacy for the treatment of the bladder outlet obstruction. However,further research is needed to establish long-term efficacy for many of thecurrently available treatment options. |
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| ISSN: | 1735-1308 1735-546X |