Current trends in minimally invasive surgery for benign prostatic hyperplasia
Journal of the Korean Medical Association
;
: 119-125, 2020.
Article
in Korean
| WPRIM
| ID: wpr-811289
ABSTRACT
The prevalence of benign prostatic hyperplasia (BPH) is rising with Korea becoming an aging society. As patients age, their comorbidities and the risks associated with anesthesia increase. Recently, there has been an increasing concern regarding sexual function after surgery. As a result, interest in minimally invasive surgery for BPH that does not require anesthesia or affect sexual function has grown. This review article introduces newly developed minimally invasive surgeries for BPH divided into four categories based on the strategy—mechanical, anatomical, atrophic, and laparoscopic. Here, the mechanisms for each surgical method have been introduced. Furthermore, recent representative studies of these procedures with a focus on randomized controlled trials and meta-analyses have also been reviewed. Side effects related to sexual function have also been mentioned briefly along with the efficacy and indication for robotic BPH surgery, which has recently been attracting attention. However, these newer, minimally invasive procedures require additional comparative randomized controlled trials and long-term results to produce more robust evidence for their use.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prostatic Hyperplasia
/
Sexual Dysfunction, Physiological
/
Aging
/
Comorbidity
/
Prevalence
/
Minimally Invasive Surgical Procedures
/
Transurethral Resection of Prostate
/
Lower Urinary Tract Symptoms
/
Anesthesia
/
Korea
Type of study:
Controlled clinical trial
/
Prevalence study
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Journal of the Korean Medical Association
Year:
2020
Type:
Article
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