An update on transurethral surgery for benign prostatic obstruction

Clinical benign prostatic hyperplasia (BPH) is one of the most common cause of lower urinary tract symptoms and transurethral resection of prostate (TURP) has been the gold standard technique for surgical treatment of benign prostate obstruction (BPO) over the last 2 decades. Although monopolar TURP...

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Main Authors: Jonathan Shunming Teo, Yee Mun Lee, Henry Sun Sien Ho
Format: Article
Language:English
Published: Elsevier 2017-07-01
Series:Asian Journal of Urology
Online Access:http://www.sciencedirect.com/science/article/pii/S2214388217300577
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author Jonathan Shunming Teo
Yee Mun Lee
Henry Sun Sien Ho
author_facet Jonathan Shunming Teo
Yee Mun Lee
Henry Sun Sien Ho
author_sort Jonathan Shunming Teo
collection DOAJ
description Clinical benign prostatic hyperplasia (BPH) is one of the most common cause of lower urinary tract symptoms and transurethral resection of prostate (TURP) has been the gold standard technique for surgical treatment of benign prostate obstruction (BPO) over the last 2 decades. Although monopolar TURP is considered a safe and effective option for surgical management of BPO, there are some disadvantages, namely bleeding, transurethral resection syndrome, incompleteness of treatment. This review aims to highlight these problems, and describe the advances in technology and techniques that have evolved to minimise such complications. With the advent of lasers and bipolar technology, as well as enucleative techniques to remove the prostatic adenoma/adenomata, the problems of bleeding, transurethral resection syndrome and incomplete treatment are significantly minimised. Monopolar TURP will likely be replaced by such technology and techniques in the near future such that transurethral surgery of the prostate remain a safe and effective option in alleviating the harmful effects of BPO. Keywords: Transurethral resection of prostate, Benign prostatic obstruction, Bleeding, Prostatectomy
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spelling doaj-art-e85f26c78abf4406be67671925b129c72025-08-20T03:24:48ZengElsevierAsian Journal of Urology2214-38822017-07-014319519810.1016/j.ajur.2017.06.006An update on transurethral surgery for benign prostatic obstructionJonathan Shunming Teo0Yee Mun Lee1Henry Sun Sien Ho2Department of Urology, Singapore General Hospital, Singapore; Corresponding author. Department of Urology, Singapore General Hospital, Outram Road, 169608, Singapore.Department of Urology, Tan Tock Seng Hospital, SingaporeDepartment of Urology, Singapore General Hospital, SingaporeClinical benign prostatic hyperplasia (BPH) is one of the most common cause of lower urinary tract symptoms and transurethral resection of prostate (TURP) has been the gold standard technique for surgical treatment of benign prostate obstruction (BPO) over the last 2 decades. Although monopolar TURP is considered a safe and effective option for surgical management of BPO, there are some disadvantages, namely bleeding, transurethral resection syndrome, incompleteness of treatment. This review aims to highlight these problems, and describe the advances in technology and techniques that have evolved to minimise such complications. With the advent of lasers and bipolar technology, as well as enucleative techniques to remove the prostatic adenoma/adenomata, the problems of bleeding, transurethral resection syndrome and incomplete treatment are significantly minimised. Monopolar TURP will likely be replaced by such technology and techniques in the near future such that transurethral surgery of the prostate remain a safe and effective option in alleviating the harmful effects of BPO. Keywords: Transurethral resection of prostate, Benign prostatic obstruction, Bleeding, Prostatectomyhttp://www.sciencedirect.com/science/article/pii/S2214388217300577
spellingShingle Jonathan Shunming Teo
Yee Mun Lee
Henry Sun Sien Ho
An update on transurethral surgery for benign prostatic obstruction
Asian Journal of Urology
title An update on transurethral surgery for benign prostatic obstruction
title_full An update on transurethral surgery for benign prostatic obstruction
title_fullStr An update on transurethral surgery for benign prostatic obstruction
title_full_unstemmed An update on transurethral surgery for benign prostatic obstruction
title_short An update on transurethral surgery for benign prostatic obstruction
title_sort update on transurethral surgery for benign prostatic obstruction
url http://www.sciencedirect.com/science/article/pii/S2214388217300577
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