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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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Trends in Simple Prostatectomy for Benign Prostatic Hyperplasia.

Joseph J Pariser1, Vignesh T Packiam1, Melanie A Adamsky1

  • 1Section of Urology, Department of Surgery, The University of Chicago Medicine, 5841 S. Maryland Ave. MC6038, Chicago, IL, 60637, USA.

Current Urology Reports
|June 14, 2016
PubMed
Summary
This summary is machine-generated.

Simple prostatectomy (SP) is a definitive treatment for large benign prostatic hyperplasia (BPH), with various approaches offering unique benefits. Less invasive options are gaining interest due to SP

Keywords:
Benign prostatic hyperplasiaLaparoscopyOutcomesRobotic surgerySimple prostatectomyTrends

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Area of Science:

  • Urology
  • Surgical Oncology
  • Men's Health

Background:

  • Symptomatic large volume (>80 mL) benign prostatic hyperplasia (BPH) often requires definitive surgical intervention.
  • Simple prostatectomy (SP) is a primary treatment, with retropubic, suprapubic, and combined approaches available.
  • Concomitant bladder pathologies like diverticulum or stones can be managed with specific SP approaches.

Purpose of the Study:

  • To review current trends and outcomes of simple prostatectomy (SP) for benign prostatic hyperplasia (BPH).
  • To evaluate the effectiveness and popularity of alternative treatments to SP.
  • To discuss the technical considerations and patient-specific factors influencing the choice of SP approach.

Main Methods:

  • Review of existing literature on simple prostatectomy (SP) techniques and outcomes.
  • Analysis of trends in SP utilization and comparison with alternative BPH treatments.
  • Discussion of perioperative morbidity, including bleeding risks associated with SP.

Main Results:

  • SP allows complete adenoma removal, potentially avoiding neurovascular and continence issues seen in radical prostatectomy.
  • Concerns regarding SP include significant perioperative morbidity, particularly bleeding.
  • There is a growing interest in less invasive alternatives such as enucleation procedures and minimally invasive SP.

Conclusions:

  • Simple prostatectomy (SP) remains a key treatment for large benign prostatic hyperplasia (BPH), with approach selection guided by patient factors and pathology.
  • The trade-off between complete adenoma removal and potential perioperative risks like bleeding is a critical consideration for SP.
  • Ongoing research and development focus on less invasive SP techniques and alternative treatments to mitigate morbidity.