[Treatment of benign prostatic hyperplasia syndrome. 2: Interventional therapy].
The invasive treatment modalities available für BPH can be divided into interstitial therapy without removal of tissue (e.g. stents), and those involving delayed tissue ablation (thermal/coagulation procedures, e.g. laser ablation, microwave thermo-ablation, high-intensity ultrasound). The latter procedures (coagulation) more often permit a nonbloody intervention, the sphincter usually remains uninjured, and retrograde ejaculation is less frequent. A third group of options is interventional treatment, with immediate ablation of tissue (vaporization, resection), which is more invasive and associated with a higher risk of complications than the two first-mentioned groups. An advantage of these options is the avoidance of a longer-term catheterization with its associated risks. Help is provided for deciding which procedure should be used in which patient.
Muschter
R
R
Klinik und Poliklinik für Urologie, Universität München.
Hofstetter
A
A
D004867:Equipment Design; D006801:Humans; D006979:Hyperthermia, Induced / Q000295:instrumentation; D017075:Laser Coagulation / Q000295:instrumentation; D008297:Male; D011467:Prostate / Q000473:pathology; D011470:Prostatic Hyperplasia / Q000473:pathology / Q000628:therapy*; D015607:Stents; D013525:Surgical Instruments; D020728:Transurethral Resection of Prostate / Q000295:instrumentation; D014464:Ultrasonic Therapy / Q000295:instrumentation