[Transurethral resection of the prostate].
Symptoms related to benign prostatic hyperplasia (BPH) are the most common reason why patients consult a urologist. Despite the rise of new minimally invasive technologies, transurethral resection of the prostate (TURP) remains the most commonly used procedure (at 84 %) to treat BPH patients in Germany. The continued popularity of this procedure can be explained by three main reasons: a robust, simple technique, an until now unsurpassed efficacy and-with regard to the risk-benefit ratio-a low morbidity. Following TURP, the mean Qmax is 19-20 ml/s and the mean IPSS is 6. BPH recurrence occurs in 2-7 % of patients within 8-22 years following TURP. Regarding clinical efficacy, meta-analyses now show relevant differences between monopolar and bipolar (B) TURP. However, B‑TURP seems to be favourable considering potential complications. Clot retention with an incidence of 1-5 % is the most common acute complication and urethral strictures with an incidence of 2-9 % are the most common long-term complications of TURP. TUR syndrome is nowadays a clinical rarity. However, many complications can be avoided by a proper resection technique. TURP is still the standard in surgical BPH therapy.
Urologische Klinik und Poliklinik, Universitätsmedizin Rostock, Ernst-Heydemann-Straße 6, 18057, Rostock, Deutschland. claudius.fuellhase@uni-rostock.de.
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Füllhase
D019317:Evidence-Based Medicine / Q000592:standards; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000209:etiology* / Q000517:prevention & control*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods / Q000592:standards; D017410:Practice Guidelines as Topic; D011468:Prostatectomy / Q000379:methods / Q000592:standards*; D011470:Prostatic Hyperplasia / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D020728:Transurethral Resection of Prostate / Q000379:methods / Q000592:standards*; D016896:Treatment Outcome
Lower urinary tract symptoms; Prostatic hyperplasia; Surgery; Therapeutics; Transurethral resection of prostate
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