Transurethral Enucleation and Resection of the Prostate: Contemporary Role in the Surgical Treatment of Benign Prostatic Hyperplasia
Journal Title: Open Access Journal of Urology & Nephrology - Year 2018, Vol 3, Issue 2
Abstract
Benign prostatic hyperplasia (BPH) is a very common urological problem affecting all men as they age. Despite the rapid evolution of BPH surgical treatment, transurethral resection of the prostate (TURP) is still considered the gold standard, which has prevailed over the past century. However, due to the safety issues associated with TURP, particularly with prostates larger than 80 ml together with the limited exposure of young urologists to the open prostatectomy, many urologists sought to modify the standard TURP in a way that would assure complete removal of the adenoma with lower risk of complications. Therefore, enucleation was incorporated into the standard TURP in a procedure called transurethral enucleation and resection of the prostate (TUERP), which has been used over the past decade. Besides its ability to provide complete removal of the adenoma, the main advantage of this modification is to help define the capsular plane early during the procedure, which will reduce the risk of capsular perforation and help control bleeders in a timely manner. The technique can be performed with monopolar or bipolar energy. The current evidence proved its safety and efficacy as an alternative to TURP and open prostatectomy in treating medium to large prostate sizes. In this mini review, we discuss the contemporary role of TUERP in the surgical treatment of BPH. We believe that our review will be of great benefit to readers particularly with the rapid evolution of surgical BPH treatment.
Authors and Affiliations
Abdullah M Alenizi
Keywords
Related Articles
- EP ID EP500529
- DOI 10.23880/oajun-16000137
- Views 60
- Downloads 0
Long-Term Clean Intermittent Catheterization, Chronic Inflammation and Cancer: A Case Report and Review
In areas not endemic for schistosomiasis, the development of squamous cell carcinoma of the bladder (bSCC) is commonly associated with long-term indwelling catheterization (LTIC) and its associated bladder inflammation....
Molecular Mechanism of Pathogenesis and Management of Diabetic Nephropathy
Kidney disease is continuously rising in the society, which may be acute or chronic. The earlier one is attributed to chemical pollution, side effects of drugs/food. The later is mainly due to life style related metaboli...
Determination of Homocysteine and Lipid Profile Level in the Blood of Chronic Kidney Disease Patients with and without Hemodialysis in Comparison to Normal Healthy Individuals
Background: Homocysteine a thiol-containing amino acid is an intermediatory product formed in the metabolic conversion of methionine to cysteine. Patients with chronic kidney disease cause many abnormalities in amino aci...
Laparoscopic Off-Clamp Partial Nephrectomy for Complex RENAL Nephrometry Score Tumours
Partial nephrectomy remains the gold standard approach for patients with localised renal tumours. However it comes with its own peri-operative challenges, especially when dealing with tumours in difficult locations. Seve...
Paratesticular Adenomatoid Tumor: Clinical Case Report
Purpose: Report of an unusual case in URO-ONCOLOGY, which imposes on the surgeon a real challenge on how to perform the correct diagnosis and preserve the testicular function. Methods: Bibliographical revision by means o...