Recent Developments in the Surgical Management of Benign Prostatic Hyperplasia

Jepsen, Jan V.; Bruskewitz, Reginald C.

doi:10.1016/s0090-4295(98)00052-1

Cited by 77 publications

(53 citation statements)

References 29 publications

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“…[2,9,56] It is usually used for large prostates or when another pathology necessitating open intervention such as multiple bladder stones coexists. [56] Previously, TURP was the most commonly used operation for obstruction relief and accounted for 60% to 97% of the prostate operations.…”

Section: Resultsmentioning

confidence: 99%

“…Currently, few centres in the Middle East offer Holmium laser enucleation of the prostate. Transurethral resection of the prostate has been declared as the reference or standard treatment for the prostates less than 70 to 80 g [1][2][3]63]; however, it has been clearly stated that TURP has not passed the formal pathways of a new surgical method evaluation and its comparison with OP has been based on retrospective, open, and single centre series [3]. Since the indications for TURP and OP are different, best comparisons are possible only through randomized controlled trials (RCT).…”

Section: Resultsmentioning

confidence: 99%

“…Currently, TURP is considered as the reference or standard treatment for the prostate less than 70 to 80 g . [1][2][3] Nevertheless, OP is still being performed for operations of the prostates that are candidate for TURP in many developing and even developed countries, as the percent of OP in the late 1990's and early 2000 in Sweden [4], France [5], Italy [6], and the Mediterranean coasts [7] ranged from 14% to 40%. In the 21 st century, with advances in surgical methods and anaesthesia, the complications of OP have decreased relative to the reports of the old times.…”

Section: Introductionmentioning

confidence: 99%

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A Comparative Study of Post Operative Complications of Open Prostatectomy (Fryer’s) Versus Trans Urethral Resection of Prostate

Gupta

Solanki

Maharaul

2015

Int Jour of Biomed Res

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Aims & objectives: To compare post-operative complications between open prostatectomy (FREYER`S) and T.U.R.P. Material and Methods: Patients, who were candidates for prostate surgery & had been referred to urology outpatient clinic in our hospital between December 2011 to September 2013, were enrolled for the study. These patients were then divided in two groups -A and B randomly, by using the process of randomization. Group A comprised of patients for open prostatectomy and Group B of patients for T.U.R.P. Conclusion:In expert hands and with proper monitoring facilities TURP is the best method of prostatectomy for small glands. However in a country like ours where all ideal facilities are not available freyer`s method will still be widely practiced for long periods.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Comparative Study of Post Operative Complications of Open Prostatectomy (Fryer’s) Versus Trans Urethral Resection of Prostate

Gupta

Solanki

Maharaul

2015

Int Jour of Biomed Res

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“…Consequently, patients usually become older, may become unfit for surgery, and may have advanced disease; this may result in unfavorable outcomes and more postoperative morbidities and complications. Also, delay in surgical treatment results in more serious and complicated resection (22)(23). For this reasons, a predictive factor to those patients who will fail medical treatment in the future can guide us to spend less money as well as to avoid possible complications for such patients that can treated earlier by definitive surgery rather than remaim on medications for some time before going to surgery.…”

Section: Discussionmentioning

confidence: 99%

Clinical significance of prostatic-urethral angulation on the treatment outcome of patients with symptomatic benign prostatic hyperplasia treated with tamsulosin hydrochloride

El-Tatawy

Gameel

El-enen

et al. 2015

Arch Ital Urol Androl

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SummaryNo conflict of interest declared.Up till now the exact pathophysiology of BPH is still poorly understood and different theories have emerged and changed over the past years. Some studies reported that the prostate volume does not correlate with the clinical LUTS and/or the degree of bladder outlet obstruction (BOO) (2, 3), and other studies discussed several anatomical factors that may explain the clinical effect of BPH such as intravesical prostatic protrusion (IPP), transition zone volume (TZV), transition zone index (TZI) and presumed circle area ratio (4-9). Recently, Cho et al. introduced the term prostatic-urethral angulation (PUA) as a new measurement that could be a causal factor for BPH (10), and in their subsequent preliminary clinical study using the fluid dynamic model, they reported that the urinary flow rate decreased by more than 27% as the PUA increased from 35° to 90° (11). Patients with PUA ≥ 35° had larger prostate volume and higher BOO index, in comparison with those who had PUA < 35° (12). Further studies showed that the PUA is significantly associated with maximum flow rate (Qmax) and voiding symptom scores in men with . In terms of medical therapy for BPH several drugs are widely distributed in the market and selective α1-blocker is the recommended treatment (15). Tamsulosin hydrochloride is a highly selective α1A-blocker that is currently used and proved to be effective and safe in treatment of symptomatic BPH alone or in combination with other drugs (16). The effect of PUA on the treatment outcome of tamsulosin hydrochloride on men with LUTS was first evaluated and PUA was inversely correlated with changes in Qmax and symptoms score after treatment (17). The aim of the present study is to evaluate the clinical outcome of medical treatment (by selective α1A-blocker) on male patients presented with LUTS/BPH and its correlation to the degree of PUA.

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“…Other popular and common operation is suprapubic transvesical prostatectomy. 4,10,11 Patient often present with acute retention of urine with varying degree of renal impairment, hence are catheterised and kept on drugs and investigated for surgical intervention on later dates. 5,6,7 In our institute, large number of the patients of both sexes and all ages with urinary symptoms are admitted throughout the year.…”

Section: Introductionmentioning

confidence: 99%

Benign Prostatic Hyperplasia: Clinicopathological Study of 138 Cases

Singh¹,

Ambedkar²,

Gaharwar³

et al. 2016

jemds

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AIMS AND OBJECTIVESTo study the incidence of Benign Prostatic Hyperplasia (BPH) in reference to age of the patients, to study the common symptoms and signs of BPH and classify on the basis of American Urological Association Symptoms Score (AUASS), to evaluate the role of various investigations, to study the relation of weight/volume and size of prostate, and to grade the prostate on the basis of AUASS. MATERIAL AND METHODSTotal 138 patients with symptoms of BPH were selected and detailed history was elicited with special reference to AUASS, according to which BPH was graded, investigated properly, and managed accordingly. RESULTSOverall incidence of BPH out of total patients admitted (8562) in surgical wards during period of one year was found 1.61%. Majority of the patients were in the age group 61-70 years and average age in present study was 67.8 years. According to AUASS, most of the patients (62.32%) had moderate grade symptoms (Score 8-19) followed by patients (37.68%) had severe symptoms (Score 20-35). On digital rectal examination, 73.18% of the patients had grade II prostate, 14.42% had grade III, and grade I in 12.31%. The blood urea and serum creatinine levels were normal in majority of the patients, 62.77% and 58.69% respectively. On USG prostate, most of the patients (65.81%) had prostatic weight in range of 41-60 grams and majority of the patients (47.22%) had PVR volume of urine ranging between 101-200 mL. Weight of prostatic specimen on prostatectomy showed that most of the patients (64.86%) had prostatic weight in range of 41-60 grams. On histopathological examination of prostatectomy samples, it was found that 91.90% of specimens showed BPH and rest 8.10% were suggestive for carcinoma prostate. CONCLUSIONBPH is a condition intimately related to ageing, which needs treatment when symptoms are bothersome and reduces the quality of life. Patients with mild-to-moderate enlargement of the prostate in 5 th and 6 th decade of life often respond to watchful waiting and medical treatment. Patients presenting with acute or chronic retention with or without haematuria finally needs surgical intervention.

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Recent Developments in the Surgical Management of Benign Prostatic Hyperplasia

Cited by 77 publications

References 29 publications

A Comparative Study of Post Operative Complications of Open Prostatectomy (Fryer’s) Versus Trans Urethral Resection of Prostate

A Comparative Study of Post Operative Complications of Open Prostatectomy (Fryer’s) Versus Trans Urethral Resection of Prostate

Clinical significance of prostatic-urethral angulation on the treatment outcome of patients with symptomatic benign prostatic hyperplasia treated with tamsulosin hydrochloride

Benign Prostatic Hyperplasia: Clinicopathological Study of 138 Cases

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