[Value of cryogenic surgery in the therapeutic plan for prostatic adenoma]

The methodical and instrumental development in urology has led to the fact that nowadays only in 25% of the patients with prostatic adenoma an "open" adenomectoy of the prostate is performed. The cryosurgery is exclusively reserved to high risk patients who at present, however, increasingly also undergo a transurethral resection. The advantages of the transurethral electroresection compared with the cryosurgery of the prostatic adenoma are discussed and confirmed with the help of the own cases. Advanced cerebral sclerosis means contraindication for every operative procedure in adenoma. Nowadays in the high risk patient a transurethral resection should be performed by the best and most experienced urologist.