Overview of interventional treatment options for benign prostatic hyperplasia

摘要

Transurethral resection of the prostate (TURP) remains the gold standard surgical intervention for men with benign prostatic hyperplasia (BPH). However, there are other, newer technologies that have also demonstrated safety and efficacy at least equivalent to that of TURP (e.g., Holmium laser, photoselective vaporization of the prostate). These minimally invasive techniques may be particularly useful for selected patient populations (e.g., those on anticoagulant therapy). Surgical management of benign prostatic hyperplasia (BPH) after failure of medical therapy did not evolve much over the first 50 years following the introduction of transurethral resection of the prostate (TURP) in the 1930s. However, over the past two decades, many alternatives have become available. Some have come and gone already, such as balloon dilation, urethral hot water balloon (thermotherapy), and alcohol injections. There are, however, several newer technologies that provide some advantages for certain patient profiles. The following review provides an overview of the various surgical options, including summaries of some of the more compelling literature published in this field.