[Surgical treatment of benign prostatic hypertrophy]

Abstract

Transurethral resection of the prostate (TURP) has become the "gold standard" although there is risk of postoperative bleeding and TUR syndrome. The main advantage of photoselective vaporisation of the prostate (PVP) is minimal bleeding; however, long-term results of PVP are pending. Transvesical prostatectomy is limited today to large prostates because of the high perioperative morbidity. Transurethral microwave therapy (TUMT) has lost some of its popularity because of post treatment catherization for several weeks and reduced long-term results compared with TURP.