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Urol J. 2011 Summer;8(3):171-6.

Endourologic procedures for benign prostatic hyperplasia: review of indications and outcomes.

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1
Department of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 20015, USA.

Abstract

PURPOSE:

To discern the positive and negative attributes of the various treatment modalities for benign prostatic hyperplasia.

MATERIALS AND METHODS:

A comprehensive literature review is presented for endoscopic treatment of the bladder outlet obstruction with an emphasis on current randomized controlled trials available comparing these treatment modalities.

RESULTS:

Transurethral resection of the prostate remains the gold standard when assessing alternative treatment options available for benign prostatic hyperplasia. Holmium laser enucleation of the prostate demonstrates equivalent efficacy with a more favorable risk profile. Photoselective vaporization, transurethral needle ablation, and transurethral microwave therapy have demonstrated safety and short-term efficacy; however, data on long-term efficacy are currently lacking.

CONCLUSION:

The current endoscopic methods may offer favorable safety and efficacy for the treatment of the bladder outlet obstruction. However, further research is needed to establish long-term efficacy for many of the currently available treatment options.

PMID:
21910092
[Indexed for MEDLINE]
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