Abstract
This review provides a brief overview of and commentary on currently available technology for the surgical treatment of obstructive benign prostatic hyperplasia causing lower urinary tract symptoms. This review provides references relevant to review and understand current technology that is clinically available.
Highlights
F1000 Faculty Reviews are written by members of the prestigious F1000 Faculty
As intermediate options to medical therapy and TURP, both prostatic urethral lift and vapor ablation are generally office procedures that demonstrate superior safety profiles, especially in regard to sexual function, and that have acceptable efficacy compared with TURP5–9
With the increased availability of novel and minimally invasive procedures, there is an increasing perception/awareness of these therapies as viable alternatives to medical therapy. Studies such as the benign prostatic hyperplasia (BPH)-6 studies in which a combination of quality-of-life parameters have increased the importance in outcome parameters that affect procedure choice such as retrograde ejaculation, need for catheterization, and recovery time have made what were technically less efficacious procedures more “superior” in these studies[10]
Summary
F1000 Faculty Reviews are written by members of the prestigious F1000 Faculty. They are commissioned and are peer reviewed before publication to ensure that the final, published version is comprehensive and accessible. The most recent advancement is aquablation, the first non-thermal technology to resect prostate tissue; studies demonstrate efficacy and safety at least equivalent to those of transurethral resection of the prostate (TURP) in glands up to 150 mL and improved outcomes in retrograde ejaculation[1,2,3,4]. As intermediate options to medical therapy and TURP, both prostatic urethral lift and vapor ablation are generally office procedures that demonstrate superior safety profiles, especially in regard to sexual function, and that have acceptable efficacy compared with TURP5–9. The well-known laser-assisted enucleation of the prostate, holmium laser enucleation of the prostate (HoLEP), is one of the most well-studied procedures, demonstrating efficacy and safety superior to those of traditional open prostatectomy and TURP. Studies with prostatic urethral lift and vapor ablation and aquablation incorporate ejaculation outcomes and demonstrate increased preservation of antegrade ejaculation compared with traditional techniques. Grant information The author(s) declared that no grants were involved in supporting this work
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