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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
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Urinary Tract Calculi V: Nursing Management01:28

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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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Disorders of the Male Reproductive System01:20

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Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
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Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

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Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
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Updated: Mar 20, 2026

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Surgical Management of Male Voiding Dysfunction.

Jessica Mandeville1, Arthur Mourtzinos1

  • 1Department of Urology, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805, USA.

The Surgical Clinics of North America
|June 5, 2016
PubMed
Summary

Benign prostatic hypertrophy (BPH) causes voiding dysfunction and lower urinary tract symptoms. Surgical options for BPH range from minimally invasive to open procedures when conservative management fails.

Keywords:
Benign prostatic hypertophyHolmium laser enucleation of the prostateLower urinary tract symptomsOpen simple prostatectomyPhotoselective vaporization of the prostateTransurethral resection of the prostate

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Area of Science:

  • Urology
  • Surgical Technology

Background:

  • Benign prostatic hypertrophy (BPH) is a prevalent condition causing voiding dysfunction.
  • BPH can lead to bladder outlet obstruction and lower urinary tract symptoms (LUTS).

Purpose of the Study:

  • To review current surgical management techniques for benign prostatic hypertrophy.
  • To provide an overview of available BPH surgical options.

Main Methods:

  • Literature review of commonly used BPH surgical procedures.
  • Categorization of surgical techniques by invasiveness and approach.

Main Results:

  • Surgical intervention is indicated for severe or refractory BPH symptoms, or complications like urinary retention.
  • Surgical options include office-based, transurethral, open, and robotic surgeries.

Conclusions:

  • A variety of surgical techniques exist for managing BPH.
  • The choice of surgical management depends on symptom severity and patient factors.