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Indications for Surgical Management of Benign Prostatic Hyperplasia

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Prostatic Artery Embolization

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Abstract

The role of surgery in the treatment of benign prostatic hyperplasia has evolved due to the introduction of new forms of energy and devices. This chapter explores the different surgical procedures in the management of benign prostatic hyperplasia. It is organized according to the type of procedure performed based on prostatic volume. For each procedure, a brief technique is described, as well as the efficacy and common complications associated with these urological interventions. This chapter should enable the reader to identify the indications for the surgical management of benign prostatic hyperplasia and compare the most commonly performed surgical procedures in the management of benign prostatic hyperplasia.

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References

  1. Park J, Cho S, Cho M, Jeong H, Son H. 5-year long-term efficacy of 120-W GreenLight photoselective vaporization of the prostate for benign prostate hyperplasia. PLoS One. 2017;12(9):e0184442.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  2. Nair S, Pimentel M, Gilling P. A review of laser treatment for symptomatic BPH (Benign Prostatic Hyperplasia). Curr Urol Rep. 2016;17(6):45.

    Article  PubMed  Google Scholar 

  3. Wasson J, Reda D, Bruskewitz R, Elinson J, Keller A, Henderson W. A comparison of transurethral surgery with watchful waiting for moderate symptoms of benign prostatic hyperplasia. N Engl J Med. 1995;332(2):75–9.

    Article  CAS  PubMed  Google Scholar 

  4. Reich O, Gratzke C, Bachmann A, Seitz M, Schlenker B, Hermanek P, et al. Morbidity, mortality and early outcome of transurethral resection of the prostate: a prospective multicenter evaluation of 10,654 patients. J Urol. 2008;180(1):246–9.

    Article  PubMed  Google Scholar 

  5. Roos N, Wennberg J, Malenka D, Fisher E, McPherson K, Andersen T, et al. Mortality and reoperation after open and transurethral resection of the prostate for benign prostatic hyperplasia. N Engl J Med. 1989;320(17):1120–4.

    Article  CAS  PubMed  Google Scholar 

  6. Graham S, Keane T, Glenn J, Brendler C. Glenn’s urologic surgery. 7th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2010.

    Google Scholar 

  7. Mamoulakis C, Ubbink D, de la Rosette J. Bipolar versus monopolar transurethral resection of the prostate: a systematic review and meta-analysis of randomized controlled trials. Eur Urol. 2009;56(5):798–809.

    Article  PubMed  Google Scholar 

  8. Bachmann A, Tubaro A, Barber N, d’Ancona F, Muir G, Witzsch U, et al. A European multicenter randomized noninferiority trial comparing 180 W GreenLight XPS laser vaporization and transurethral resection of the prostate for the treatment of benign prostatic obstruction: 12-month results of the GOLIATH study. J Urol. 2015;193(2):570–8.

    Article  PubMed  Google Scholar 

  9. Geavlete B, Georgescu D, Multescu R, Stanescu F, Jecu M, Geavlete P. Bipolar plasma vaporization vs monopolar and bipolar TURP–A prospective, randomized, long-term comparison. Urology. 2011;78(4):930–5.

    Article  PubMed  Google Scholar 

  10. Pavone C, Abbadessa D, Scaduto G, Caruana G, Scalici Gesolfo C, Fontana D, et al. Sexual dysfunctions after transurethral resection of the prostate (TURP): evidence from a retrospective study on 264 patients. Archivio Italiano di Urologia e Andrologia. 2015;87(1):8.

    Article  CAS  PubMed  Google Scholar 

  11. El-Assmy A, ElShal A, Mekkawy R, El-Kappany H, Ibrahiem E. Erectile and ejaculatory functions changes following bipolar versus monopolar transurethral resection of the prostate: a prospective randomized study. Int Urol Nephrol. 2018;50(9):1569–76.

    Article  CAS  PubMed  Google Scholar 

  12. Gravas S, Bachmann A, Reich O, Roehrborn CG, Gilling PJ, Rosette JDL. Critical review of lasers in benign prostatic hyperplasia (BPH). BJU Int. 2011;107(7):1030–43.

    Article  PubMed  Google Scholar 

  13. Cornu J-N, Ahyai S, Bachmann A, Rosette JDL, Gilling P, Gratzke C, et al. A systematic review and meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic obstruction: an update. Eur Urol. 2015;67(6):1066–96.

    Article  PubMed  Google Scholar 

  14. Te A, Malloy T, Stein B, Ulchaker J, Nseyo U, Hai M, et al. Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia: 12-month results from the first United States multicenter prospective trial. J Urol. 2004;172(4):1404–8.

    Article  PubMed  Google Scholar 

  15. Sandhu JS, Ng CK, Gonzalez RR, Kaplan SA, Te AE. Photoselective laser vaporization prostatectomy in men receiving anticoagulants. J Endourol. 2005;19(10):1196–8.

    Article  PubMed  Google Scholar 

  16. Thomas JA, Tubaro A, Barber N, D’Ancona F, Muir G, Witzsch U, et al. A Multicenter randomized noninferiority trial comparing GreenLight-XPS laser vaporization of the prostate and transurethral resection of the prostate for the treatment of benign prostatic obstruction: two-yr outcomes of the GOLIATH study. Eur Urol. 2016;69(1):94–102.

    Article  PubMed  Google Scholar 

  17. Eken A, Soyupak B, Acil M, Arpaci T, Akbas T. Safety, efficacy and outcomes of the new GreenLight XPS 180W laser system compared to the GreenLight HPS 120W system for the treatment of benign prostatic hyperplasia in a prospective nonrandomized single-centre study. Can Urol Assoc J. 2015;9(1–2):56.

    Article  Google Scholar 

  18. Capitán C, Blázquez C, Martin MD, Hernández V, Peña EDL, Llorente C. GreenLight HPS 120-W laser vaporization versus transurethral resection of the prostate for the treatment of lower urinary tract symptoms due to benign prostatic hyperplasia: a randomized clinical trial with 2-year follow-up. Eur Urol. 2011;60(4):734–9.

    Article  PubMed  Google Scholar 

  19. Thangasamy IA, Chalasani V, Bachmann A, Woo HH. Photoselective vaporisation of the prostate using 80-W and 120-W laser versus transurethral resection of the prostate for benign prostatic hyperplasia: a systematic review with meta-analysis from 2002 to 2012. Eur Urol. 2012;62(2):315–23.

    Article  PubMed  Google Scholar 

  20. Welliver C, Helo S, McVary K. Technique considerations and complication management in transurethral resection of the prostate and photoselective vaporization of the prostate. Transl Androl Urol. 2017;6(4):695–703.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Bachmann A, Schürch L, Ruszat R, Wyler S, Seifert H, Müller A, et al. Photoselective vaporization (PVP) versus transurethral resection of the prostate (TURP): a prospective bi-Centre study of perioperative morbidity and early functional outcome. Eur Urol. 2005;48(6):965–72.

    Article  PubMed  Google Scholar 

  22. Ahyai S, Gilling P, Kaplan S, Kuntz R, Madersbacher S, Montorsi F, et al. Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic enlargement. Eur Urol. 2010;58(3):384–97.

    Article  PubMed  Google Scholar 

  23. Mcvary KT, Roehrborn CG. Three-year outcomes of the prospective, randomized controlled Rezūm system study: convective radiofrequency thermal therapy for treatment of lower urinary tract symptoms due to benign prostatic hyperplasia. Urology. 2018;111:1–9.

    Article  PubMed  Google Scholar 

  24. Mcvary KT, Gange SN, Gittelman MC, Goldberg KA, Patel K, Shore ND, et al. Minimally invasive prostate convective water vapor energy ablation: a multicenter, randomized, controlled study for the treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia. J Urol. 2016;195(5):1529–38.

    Article  PubMed  Google Scholar 

  25. Roehrborn C, Gange S, Gittelman M, Goldberg K, Patel K, Shore N, et al. Convective radiofrequency thermal therapy: durable two-year outcomes of a randomized controlled and prospective crossover study to relieve lower urinary tract symptoms due to benign prostatic hyperplasia. J Urol. 2017;197(6):1507–16.

    Article  PubMed  Google Scholar 

  26. Chung A, Woo H. Update on minimally invasive surgery and benign prostatic hyperplasia. Asian J Urol. 2018;5(1):22–7.

    Article  PubMed  Google Scholar 

  27. Darson MF, Alexander EE, Schiffman ZJ, Lewitton M, Light RA, Sutton MA, et al. Procedural techniques and multicenter postmarket experience using minimally invasive convective radiofrequency thermal therapy with Rezūm system for treatment of lower urinary tract symptoms due to benign prostatic hyperplasia. Res Rep Urol. 2017;9:159–68.

    PubMed  PubMed Central  Google Scholar 

  28. McVary K, Gange S, Gittelman M, Goldberg K, Patel K, Shore N, et al. Erectile and ejaculatory function preserved with convective water vapor energy treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia: randomized controlled study. J Sex Med. 2016;13(6):924–33.

    Article  PubMed  Google Scholar 

  29. Roehrborn C, Barkin J, Gange S. Five-year results of the prospective randomized controlled prostatic urethral L.I.F.T. study. Can J Urol. 2017;24(3):8802–13.

    PubMed  Google Scholar 

  30. Roehrborn CG, Gange SN, Shore ND, Giddens JL, Bolton DM, Cowan BE, et al. The prostatic urethral lift for the treatment of lower urinary tract symptoms associated with prostate enlargement due to benign prostatic hyperplasia: the L.I.F.T. study. J Urol. 2013;190(6):2161–7.

    Article  PubMed  Google Scholar 

  31. Shore N, Freedman S, Gange S, Moseley W, Heron S, Tutrone R, et al. Prospective multicenter study elucidating patient experience after prostatic urethral lift. Can J Urol. 2014;21(1):7094–101.

    PubMed  Google Scholar 

  32. Pascoe C, Ow D, Perera M, Woo HH, Jack G, Lawrentschuk N. Optimising patient outcomes with photoselective vaporization of the prostate (PVP): a review. Transl Androl Urol. 2017;6(S2):S133–41.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Yun HK, Kwon JB, Cho SR, Kim JS. Early experience with laparoscopic retropubic simple prostatectomy in patients with voluminous benign prostatic hyperplasia (BPH). Korean J Urol. 2010;51(5):323.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Gratzke C, Schlenker B, Seitz M, Karl A, Hermanek P, Lack N, et al. Complications and early postoperative outcome after open prostatectomy in patients with benign prostatic enlargement: results of a prospective multicenter study. J Urol. 2007;177(4):1419–22.

    Article  PubMed  Google Scholar 

  35. Simforoosh N, Abdi H, Kashi A, Zare S, Tabibi A, Daneshdezfuli A, et al. Open prostatectomy versus transurethral resection of the prostate where do we stand in the new era? A randomized clinical trial. Urol J. 2010;76(4):262–9.

    Google Scholar 

  36. Baumert H. Laparoscopic simple prostatectomy Vs. open simple prostatectomy: the first comparative study. Eur Urol Suppl. 2006;5(2):310.

    Article  Google Scholar 

  37. Autorino R, Zargar H, Mariano MB, Sanchez-Salas R, Sotelo RJ, Chlosta PL, et al. Perioperative outcomes of robotic and laparoscopic simple prostatectomy: a European–American Multi-Institutional Analysis. Eur Urol. 2015;68(1):86–94.

    Article  PubMed  Google Scholar 

  38. Sivarajan G, Borofsky MS, Shah O, Lingeman JE, Lepor H. The role of minimally invasive surgical techniques in the management of large-gland benign prostatic hypertrophy. Rev Urol. 2015;17(3):140–9.

    PubMed  PubMed Central  Google Scholar 

  39. Cockrell R, Lee DI. Robot-assisted simple prostatectomy: expanding on an established operative approach. Curr Urol Rep. 2017;18(5):37.

    Article  PubMed  Google Scholar 

  40. Krambeck AE, Handa SE, Lingeman JE. Experience with more than 1,000 holmium laser prostate enucleations for benign prostatic hyperplasia. J Urol. 2010;183(3):1105–9.

    Article  PubMed  Google Scholar 

  41. Robert G, Cornu J-N, Fourmarier M, Saussine C, Descazeaud A, Azzouzi A-R, et al. Multicentre prospective evaluation of the learning curve of holmium laser enucleation of the prostate (HoLEP). BJU Int. 2015;117(3):495–9.

    Article  PubMed  Google Scholar 

  42. Elmansy HM, Kotb A, Elhilali MM. Holmium laser enucleation of the prostate: long-term durability of clinical outcomes and complication rates during 10 years of follow up. J Urol. 2011;186(5):1972–6.

    Article  PubMed  Google Scholar 

  43. Yin L, Teng J, Huang C-J, Zhang X, Xu D. Holmium laser enucleation of the prostate versus transurethral resection of the prostate: a systematic review and meta-analysis of randomized controlled trials. J Endourol. 2013;27(5):604–11.

    Article  PubMed  Google Scholar 

  44. Elkoushy MA, Elhilali MM. Management of benign prostatic hyperplasia larger than 100 ml: simple open enucleation versus transurethral laser prostatectomy. Curr Urol Rep. 2016;17(6):44.

    Article  PubMed  Google Scholar 

  45. Gilling PJ, Wilson LC, King CJ, Westenberg AM, Frampton CM, Fraundorfer MR. Long-term results of a randomized trial comparing holmium laser enucleation of the prostate and transurethral resection of the prostate: results at 7 years. BJU Int. 2011;109(3):408–11.

    Article  PubMed  Google Scholar 

  46. Ekengren J, Zhang W, Hahn R. Effects of bladder capacity and height of fluid bag on intravesical pressure during transurethral resection of the prostate. Eur Urol. 1995;27(1):26–30.

    Article  CAS  PubMed  Google Scholar 

  47. Montorsi F, Naspro R, Salonia A, Suardi N, Briganti A, Zanoni M, et al. Holmium laser enucleation versus transurethral resection of the prostate: results from a 2-center, prospective, randomized trial in patients with obstructive benign prostatic hyperplasia. J Urol. 2004;172(5):1926–9.

    Article  PubMed  Google Scholar 

  48. Shigemura K, Fujisawa M. Current status of holmium laser enucleation of the prostate. Int J Urol. 2017;25(3):206–11.

    Article  PubMed  Google Scholar 

  49. Elmansy H, Baazeem A, Kotb A, Badawy H, Riad E, Emran A, et al. Holmium laser enucleation versus photoselective vaporization for prostatic adenoma greater than 60 ml: preliminary results of a prospective, randomized clinical trial. J Urol. 2012;188(1):216–21.

    Article  PubMed  Google Scholar 

  50. Briganti A, Naspro R, Gallina A, Salonia A, Vavassori I, Hurle R, et al. Impact on sexual function of holmium laser Enucleation versus transurethral resection of the prostate: results of a prospective, 2-center, randomized trial. J Urol. 2006;175(5):1817–21.

    Article  PubMed  Google Scholar 

  51. Ahyai SA, Lehrich K, Kuntz RM. Holmium laser enucleation versus transurethral resection of the prostate: 3-year follow-up results of a randomized clinical trial. Eur Urol. 2007;52(5):1456–64.

    Article  PubMed  Google Scholar 

  52. Kuntz RM, Lehrich K, Ahyai SA. Holmium laser enucleation of the prostate versus open prostatectomy for prostates greater than 100 grams: 5-year follow-up results of a randomised clinical trial. Eur Urol. 2008;53(1):160–8.

    Article  PubMed  Google Scholar 

  53. Muntener M, Aellig S, Kuettel R, Gehrlach C, Sulser T, Strebel RT. Sexual function after transurethral resection of the prostate (TURP): results of an independent prospective multicentre assessment of outcome. Eur Urol. 2007;52(2):510–6.

    Article  PubMed  Google Scholar 

  54. Bruyère F. The relationship between photoselective vaporization of the prostate and sexual function. Curr Urol Rep. 2011;12(4):261–4.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. University of North Carolina School of Medicine, Chapel Hill, NC, USA

    Obafunbi Abimbola

  2. Department of Urology, University of North Carolina Hospitals, Chapel Hill, NC, USA

    Mathew C. Raynor

Authors
  1. Obafunbi Abimbola
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  2. Mathew C. Raynor
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Correspondence to Obafunbi Abimbola .

Editor information

Editors and Affiliations

  1. Department of Radiology, University of North Carolina, School of Medicine, Chapel Hill, NC, USA

    Ari J. Isaacson

  2. Vascular and Interventional Radiology, Vascular Institute of Virginia, Woodbridge, VA, USA

    Sandeep Bagla

  3. Department of Urology, University of North Carolina Hospitals, Chapel Hill, NC, USA

    Mathew C. Raynor

  4. Division of Vascular and Interventional Radiology, Department of Radiology, University of North Carolina, School of Medicine, Chapel Hill, NC, USA

    Hyeon Yu

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Abimbola, O., Raynor, M.C. (2020). Indications for Surgical Management of Benign Prostatic Hyperplasia. In: Isaacson, A., Bagla, S., Raynor, M., Yu, H. (eds) Prostatic Artery Embolization. Springer, Cham. https://doi.org/10.1007/978-3-030-23471-3_4

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  • DOI: https://doi.org/10.1007/978-3-030-23471-3_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23470-6

  • Online ISBN: 978-3-030-23471-3

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