Have we really abandoned open simple prostatectomy today?

摘要

Transurethral resection of the prostate (TURP) remains the standard surgical therapy for lower urinary tract symptoms secondary to bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH) with prostate sizes of 30-80 g [1]. In cases with large prostate adenomas (>80g), the resection time required by TURP is associated with increased risk of transurethral resection syndrome, blood loss, and other complications [1,2]. Open prostatectomy (OP) is therefore still considered a valid option for patients with prostates >100 g [1,3].