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Review
. 2025 Jan;19(1):1-5.
doi: 10.1097/CU9.0000000000000261. Epub 2024 Sep 27.

Beyond size: A comprehensive overview of small-volume benign prostatic hyperplasia

Junhao Xu  1 , Bangmin Han  1 , Shujie Xia  1 , Yifeng Jing  1
Affiliations
Review

Beyond size: A comprehensive overview of small-volume benign prostatic hyperplasia

Junhao Xu et al. Curr Urol. 2025 Jan.

Abstract

Benign prostatic hyperplasia (BPH) is one of the most frequently diagnosed benign disorders that cause dysuria in middle-aged and elderly men. Some patients with BPH have relatively small prostates (referred to as small-volume BPH) but still experience the lower urinary tract infection. Medication treatment is typically not successful in these patients. In addition, their pathophysiologic pathways deviate from those previously observed. Furthermore, as there is no accepted protocol for the diagnosis and treatment of small-volume BPH, patients can experience great difficulties in managing surgical complications such as bladder neck contracture. Thus, we reviewed the features of small-volume prostates, preoperative assessment, surgical technique, and management of complications.

Keywords: Benign prostatic hyperplasia; Bladder neck contracture; Small-volume prostate; Surgical treatment.

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Conflict of interest statement

SX is the Editor-in-Chief of Current Urology, BH is an Editorial Board member of Current Urology. The other authors declare no conflicts of interest.

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