Surgical therapy for benign prostatic hyperplasia: Almost three decades of change

摘要

In 2001, we published our analysis describing a “decade of change” in the surgical management of benign prostatic hyperplasia (BPH) impacted by the introduction of medical therapy. We described patients who underwent transurethral resection of the prostate (TURP) for symptomatic BPH in 1988 (before general introduction of medical therapy for BPH) and 1998 (medical therapy as the primary initial therapy for BPH). We believed that medical therapy led to the dramatic decrease in the number of TURPs being performed. The proportion of TURP patients presenting with urinary retention and hydronephrosis increased, but the average age, medical comorbidities, operative parameters, and postoperative complications did not significantly change.