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...

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Main Authors: Ravi Kacker, Stephen B. Williams
Format: Article
Language:English
Published: Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences 2011-09-01
Series:Urology Journal
Subjects:
Online Access:http://www.urologyjournal.org/index.php/uj/article/view/1126/561
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author Ravi Kacker
Stephen B. Williams
author_facet Ravi Kacker
Stephen B. Williams
author_sort Ravi Kacker
collection DOAJ
description 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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spelling doaj.art-cdff12adb3e343c4952f0e3fe45fb6182022-12-21T23:51:54ZengUrology and Nephrology Research Center, Shahid Beheshti University of Medical SciencesUrology Journal1735-13081735-546X2011-09-0183171176Endourologic Procedures for Benign ProstaticHyperplasia: Review of Indications and OutcomesRavi KackerStephen B. WilliamsPURPOSE: 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.http://www.urologyjournal.org/index.php/uj/article/view/1126/561benign prostatic hyperplasiaminimally invasivetreatment outcomeprostatectomy
spellingShingle Ravi Kacker
Stephen B. Williams
Endourologic Procedures for Benign ProstaticHyperplasia: Review of Indications and Outcomes
Urology Journal
benign prostatic hyperplasia
minimally invasive
treatment outcome
prostatectomy
title Endourologic Procedures for Benign ProstaticHyperplasia: Review of Indications and Outcomes
title_full Endourologic Procedures for Benign ProstaticHyperplasia: Review of Indications and Outcomes
title_fullStr Endourologic Procedures for Benign ProstaticHyperplasia: Review of Indications and Outcomes
title_full_unstemmed Endourologic Procedures for Benign ProstaticHyperplasia: Review of Indications and Outcomes
title_short Endourologic Procedures for Benign ProstaticHyperplasia: Review of Indications and Outcomes
title_sort endourologic procedures for benign prostatichyperplasia review of indications and outcomes
topic benign prostatic hyperplasia
minimally invasive
treatment outcome
prostatectomy
url http://www.urologyjournal.org/index.php/uj/article/view/1126/561
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AT stephenbwilliams endourologicproceduresforbenignprostatichyperplasiareviewofindicationsandoutcomes