Treatments for benign prostatic hyperplasia
Transurethral incision of the prostate (TUIP) is considered by some to be an alternative standard for men with small prostates. Devices and techniques similar to TURP are used for transurethral electrovaporization (TUEVP) and transurethral vaporization with resection of the prostate (TUVRP), and the...
| Corporate Authors: | , , , |
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| Format: | eBook |
| Language: | English |
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Rockville, Maryland
Agency for Healthcare Research and Quality
2004, August 2, 2004
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| Series: | Technology assessment
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| Subjects: | |
| Online Access: | |
| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | Transurethral incision of the prostate (TUIP) is considered by some to be an alternative standard for men with small prostates. Devices and techniques similar to TURP are used for transurethral electrovaporization (TUEVP) and transurethral vaporization with resection of the prostate (TUVRP), and these newer techniques have come to be considered variations on the TURP standard. However, the standard surgeries may be accompanied by undesirable complications of blood loss, transfusion and absorption of irrigation fluids and may result in side-effects such as retrograde ejaculation and incontinence. Therefore, there have been attempts to develop new surgical techniques that use lasers, as well as minimally invasive techniques with heat, microwaves, radiofrequencies, and ultrasound, with the intent of developing techniques that are less invasive than TURP (and thus have fewer complications and side-effects), but provide equivalent symptom relief. It is also desirable that these newer treatments have low retreatment rates. Thus, there are many types of outcomes to examine in comparing these less invasive treatments to TURP. For these less invasive treatments, it may not be a simple question of comparative efficacy with TURP, but rather a question of whether lower complication and side-effect rates are a suitable tradeoff for possibly somewhat less symptom relief and possibly a need for retreatment in the future. The primary purpose of this technology assessment is to review the evidence comparing newer forms of surgery or minimally invasive treatments to TURP (or other standard surgical variations), in terms of efficacy, complications, side effects, and retreatment rates Benign prostatic hyperplasia (BPH) is a condition primarily of middle-aged and elderly men. The frequency of the condition increases with age, so it is found in the majority of very elderly men. Consequently, surgical and medical treatments for BPH are some of the most common therapies administered in all of medical practice. BPH is associated with bothersome lower urinary tract symptoms that may include urgency to urinate, frequent urination, weak stream, straining, and/or the sensation of incomplete bladder emptying. These symptoms affect quality of life and sleeping patterns. Medical therapy is available for BPH; however, this may have undesirable side-effects and may provide inadequate relief for more severe cases. Open prostatectomy may be used for men with very large prostates, but has been largely replaced by transurethral resection of the prostate (TURP) as the gold standard for surgical treatment of BPH. |
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| Item Description: | Title from PDF title page |
| Physical Description: | 1 PDF file (v, 126 pages) |