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 27
- Downloads 0
The Rising Obstacles and Hopes Available in Urethral Replacement
To the wide variation inside the anatomic presentation of hypospadias, no single urethroplasty may be applicable in each case. Further, Because of postoperative complications and a distinct shortage of tissue, a big numb...
Bladder Outlet Obstruction Due to Bladder Leiomyoma – Case Report and Literature Review
Bladder Leiomyoma is a rare and benign disease with a variable clinical presentation. The use of imaging exams is necessary for both diagnostic confirmation and therapeutic programming. The objective of this work was to...
A Case Report of Emphysematous Pyelonephritis in a Diabetic Patient Complicated with Paraspinal Abscess
Emphysematous pyelonephritis is a rare, life threatening condition where there is severe infection of renal parenchyma causing gas accumulation in the tissue. It is commonly in diabetic and needed to be recognised and tr...
Does it need to Take Digitally Targeted Biopsies Additionally to TRUS Guided 12- Core Systematic Prostate Biopsies? A Single Center Prospective Clinical Study
Purpose: To investigate whether digitally targeted additional biopsies enhance the detection rate of standard 12-core TRUS guided systematic biopsies. Methods: A total of 119 patients who either have a PSA level greater...
Anthropometric Specific Features of Patients with Cancer of Prostate
The article presents our own data on the results of anthropometry in 42 patients with prostate cancer, the average age is 69.3 ± 2.6 years. The most common somatotype is the gynaecomorphics. However, among the male popul...