title: [BPH: state of the art in the surgical treatment].
abstract: TURP has been considered the gold standard for surgical treatment of BPH for many years. Symptoms relief, improvement in maximum flow rate and reduction of post void residual urine have been reported in several experiences. Nevertheless, concerns have been reported in terms of safety outcomes: intracapsular perforation, TUR syndrome, bleeding. In the recent years the use of new forms of energy and devices such as bipolar resector, Ho: YAG and potassium-titanyl-phosphate laser are challenging the role of traditional TURP for BPH surgical treatment. In 1999 TURP represented 81% of surgical treatment for BPH versus 39% in 2005. We have analyzed guidelines and recent literature to evaluate the role of the most relevant new surgical approaches compared to TURP for the treatment of BPH.
authors.affiliation: Unità operativa Urologia, Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico Milano, Istituto di Urologia, Università degli Studi di Milano, Milano 20122, Italy. angelica_grasso@yahoo.com
authors.forename: Angelica A C
authors.initials: AA
authors.lastname: Grasso
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Albo
authors.forename: Gabriele
authors.initials: G
authors.lastname: Cozzi
authors.forename: Matteo G
authors.initials: MG
authors.lastname: Spinelli
authors.forename: Michele
authors.initials: M
authors.lastname: Talso
authors.forename: Paolo G
authors.initials: PG
authors.lastname: Dell'Orto
authors.forename: Mario
authors.initials: M
authors.lastname: Ferruti
authors.forename: Bernardo M
authors.initials: BM
authors.lastname: Rocco
authors.forename: Francesco
authors.initials: F
authors.lastname: Rocco
mesh_terms: D006801:Humans; D053685:Laser Therapy; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000601:surgery*; D020728:Transurethral Resection of Prostate