Laparoscopic treatment of benign prostatic hyperplasia (BPH): overview of the current techniques.

摘要

BPH is one of the most common diseases In ageing men and can be associated with LUTS that affect health-related quality of life [1.2].TURP has been the 'gold-standard' surgical treatment for BPH over the past 30 years. However, its role in treating large prostates is limited mainly due to intraoperative and postoperative morbidities such as bleeding (with need for transfusion), TUR syndrome, urethral strictures as well as frequent need for re-operation [3]. The operative morbidity of TURP increases when it is performed for prostatic adenomas >45 g, in procedures lasting >90 min, or in patients aged >80 years or with a history of acute urinary retention 14,51.