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

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

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.

Publication types

  • Review

MeSH terms

  • Endoscopy*
  • Humans
  • Male
  • Minimally Invasive Surgical Procedures / methods
  • Prostatic Hyperplasia / surgery*
  • Treatment Outcome
  • Urologic Surgical Procedures, Male / methods