Trends in Simple Prostatectomy for Benign Prostatic Hyperplasia

Joseph J. Pariser, Vignesh T. Packiam, Melanie A. Adamsky, Gregory T. Bales

Research output: Contribution to journalReview article

9 Scopus citations

Abstract

The definitive treatment for symptomatic large volume (>80 mL) benign prostatic hyperplasia (BPH) is simple prostatectomy (SP). This can be performed by utilizing a retropubic, suprapubic, or a combined approach. The latter two approaches allow for the management of concomitant bladder diverticulum or stones through the same incision. Each approach affords unique technical strengths and weaknesses that must be considered in light of patient characteristics and concomitant pathology. SP allows for removal of the entire prostatic adenoma while obviating some of the neurovascular and continence issues that can arise from radical prostatectomy. Concerns with SP include its relatively high perioperative morbidity, notably bleeding. Therefore, there is increasing interest in less invasive options, including enucleation procedures and minimally invasive SP. This review presents an update regarding trends and outcomes of SP, as well as the effectiveness and popularity of alternative treatments.

Original languageEnglish (US)
Article number57
JournalCurrent Urology Reports
Volume17
Issue number8
DOIs
StatePublished - Aug 1 2016
Externally publishedYes

Keywords

  • Benign prostatic hyperplasia
  • Laparoscopy
  • Outcomes
  • Robotic surgery
  • Simple prostatectomy
  • Trends

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