Abstract
Surgical treatment of BPH is well established. TURP is recognized as the gold standard procedure, and variations now exist in the form of differing energy source to complete prostate resection or enucleation. This chapter outlines newer and experimental techniques in the surgical treatment of BPH. This includes laparoscopic and robotic adenomectomy, urethral lift procedures, and intraprostatic injection of alcohol. The techniques and outcomes are described and given the paucity of long-term outcome and the lack of worldwide experience in these techniques, these techniques are considered to be in their infancy.
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References
Oelke M, Bachmann A, Descazeaud A, Emberton M, Gravas S, Michel MC, et al. Guidelines on the management of male lower urinary tract symptoms (LUTS), incl. benign prostatic obstruction (BPO): European Association of Urology. 2012; 40–70. ISBN 978-90-79754-71-7
Porpiglia F, Terrone C, Renard J, Grande S, Musso F, Cossu M, et al. Transcapsular adenomectomy(Millin): a comparative study, extraperitoneal laparoscopy versus open surgery. Eur Urol. 2006;49(1):120–6. PubMed PMID: 16310927.
Mariano MB, Graziottin TM, Tefilli MV. Laparoscopic prostatectomy with vascular control for benign prostatic hyperplasia. J Urol. 2002;167(6):2528–9. PubMed PMID: 11992078.
van Velthoven R, Peltier A, Laguna MP, Piechaud T. Laparoscopic extraperitoneal adenomectomy (Millin): pilot study on feasibility. Eur Urol. 2004;45(1):103–9; discussion 9. PubMed PMID: 14667525.
Sotelo R, Spaliviero M, Garcia-Segui A, Hasan W, Novoa J, Desai MM, et al. Laparoscopic retropubic simple prostatectomy. J Urol. 2005;173(3):757–60. PubMed PMID: 15711263.
Rey D, Ducarme G, Hoepffner JL, Staerman F. Laparoscopic adenectomy: a novel technique for managing benign prostatic hyperplasia. BJU Int. 2005;95(4):676–8. PubMed PMID: 15705103.
Asimakopoulos AD, Mugnier C, Hoepffner JL, Lopez L, Rey D, Gaston R, et al. Laparoscopic treatment of benign prostatic hyperplasia (BPH): overview of the current techniques. BJU Int. 2011;107(7):1168–82. PubMed PMID: 21438981.
Zhou LY, Xiao J, Chen H, Zhu YP, Sun YW, Xuan Q. Extraperitoneal laparoscopic adenomectomy for benign prostatic hyperplasia. World J Urol. 2009;27(3):385–7. PubMed PMID: 19082604.
Garcia Segui A, Gascon Mir M. Comparative study between laparoscopic extraperitoneal and open adenomectomy. Actas Urol Esp. 2012;36(2):110–6. PubMed PMID: WOS:000300133900009. Spanish.
Mariano MB, Tefilli MV, Graziottin TM, Morales CM, Goldraich IH. Laparoscopic prostatectomy for benign prostatic hyperplasia – a six-year experience. Eur Urol. 2006;49(1):127–31; discussion 31–2. PubMed PMID: 16314034.
Baumert H, Ballaro A, Dugardin F, Kaisary AV. Laparoscopic versus open simple prostatectomy: a comparative study. J Urol. 2006;175(5):1691–4. PubMed PMID: 16600732.
Hoepffner JL, Gaston R, Piechaud T, Rey D. Finger assisted laparoscopic retropubic prostatectomy (Millin). Eur Urol Supp. 2006;5:962–7.
Chlosta PL, Varkarakis IM, Drewa T, Dobruch J, Jaskulski J, Antoniewicz AA, et al. Extraperitoneal laparoscopic Millin prostatectomy using finger enucleation. J Urol. 2011;186(3):873–6. PubMed PMID: WOS:000293688300031. English.
Rehman J, Khan SA, Sukkarieh T, Chughtai B, Waltzer WC. Extraperitoneal laparoscopic prostatectomy (adenomectomy) for obstructing benign prostatic hyperplasia: transvesical and transcapsular (Millin) techniques. J Endourol. 2005;19(4):491–6. PubMed PMID: 15910264.
Slojewski M, Golab A, Galeski M, Sikorski A. Adenomektomia laparoskopowa w leczeniu łagodnego rozrostu stercza. Urol Pol. 2008;61(11):48–54.
Porpiglia F, Fiori C, Cavallone B, Morra I, Bertolo R, Scarpa RM. Extraperitoneoscopic transcapsular adenomectomy: complications and functional results after at least 1 year of followup. J Urol. 2011;185(5):1668–73. PubMed PMID: WOS:000289279600037. English.
McCullough TC, Heldwein FL, Soon SJ, Galiano M, Barret E, Cathelineau X, et al. Laparoscopic versus open simple prostatectomy: an evaluation of morbidity. J Endourol. 2009;23(1):129–33. PubMed PMID: 19119803.
Sotelo R, Clavijo R, Carmona O, Garcia A, Banda E, Miranda M, et al. Robotic simple prostatectomy. J Urol. 2008;179(2):513–5. PubMed PMID: 18076926.
Yuh B, Laungani R, Perlmutter A, Eun D, Peabody JO, Mohler JL, et al. Robot-assisted Millin’ s retropubic prostatectomy: case series. Can J Urol. 2008;15(3):4101–5.
Coelho RF, Chauhan S, Sivaraman A, Palmer KJ, Orvieto MA, Rocco B, et al. Modified technique of robotic-assisted simple prostatectomy: advantages of a vesico-urethral anastomosis. BJU Int. 2012;109(3):426–33. PubMed PMID: 21851543.
John H, Bucher C, Engel N, Fischer B, Fehr JL. Preperitoneal robotic prostate adenomectomy. Urology. 2009;73(4):811–5. PubMed PMID: 19195694.
Vora A, Mittal S, Hwang J, Bandi G. Robot-assisted simple prostatectomy: multi-institutional outcomes for glands larger than 100 grams. J Endourol. 2012;26(5):499–502.
Sutherland DE, Perez DS, Weeks DC. Robot-assisted simple prostatectomy for severe benign prostatic hyperplasia. J Endourol. 2011;25(4):641–4. PubMed PMID: 21413877.
Matei DV, Brescia A, Mazzoleni F, Spinelli M, Musi G, Melegari S, et al. Robot-assisted simple prostatectomy (RASP): does it make sense? BJU Int. 2012;110(11):E972–9.
Autorino R, Kaouk JH, Stolzenburg JU, Gill IS, Mottrie A, Tewari A, et al. Current status and future directions of robotic single-site surgery: a systematic review. Eur Urol. 2013;63(2):266–80. PubMed PMID: 22940173.
Desai MM, Aron M, Canes D, Fareed K, Carmona O, Haber GP, et al. Single-port transvesical simple prostatectomy: initial clinical report. Urology. 2008;72(5):960–5. PubMed PMID: 18835633.
Sotelo RJ, Astigueta JC, Desai MM, Canes D, Carmona O, De Andrade RJ, et al. Laparoendoscopic single-site surgery simple prostatectomy: initial report. Urology. 2009;74(3):626–30. PubMed PMID: 19604561.
Desai MM, Fareed K, Berger AK, Astigueta JC, Irwin BH, Aron M, et al. Single-port transvesical enucleation of the prostate: a clinical report of 34 cases. BJU Int. 2010;105(9):1296–300. PubMed PMID: 20346053.
Autorino R, Sosnowski R, De Sio M, et al. Laparo-endoscopic single-site surgery: recent advances in urology. Cent Eur J Urol. 2012;65(4):204–11.
Fareed K, Zaytoun OM, Autorino R, White WM, Crouzet S, Yakoubi R, et al. Robotic single port suprapubic transvesical enucleation of the prostate (R-STEP): initial experience. BJU Int. 2012;110(5):732–7. PubMed PMID: 22340135.
Rao P, Desai M, Sotelo R, Rao P, Liu C. Hybrid LESS prostatectomy for BPH: a combined technique. Urology. 2011;78(3):64.
Chin PT, Bolton DM, Jack G, Rashid P, Thavaseelan J, Yu RJ, et al. Prostatic urethral lift: two-year results after treatment for lower urinary tract symptoms secondary to benign prostatic hyperplasia. Urology. 2012;79(1):5–11. PubMed PMID: 22202539. Epub 2011/12/29. eng.
Barkin J, Giddens J, Incze P, Casey R, Richardson S, Gange S. UroLift system for relief of prostate obstruction under local anesthesia. Can J Urol. 2012;19(2):6217–22. PubMed PMID: 22512970. Epub 2012/04/20. eng.
Grise P, Plante M, Palmer J, Martinez-Sagarra J, Hernandez C, Schettini M, et al. Evaluation of the transurethral ethanol ablation of the prostate (TEAP) for symptomatic benign prostatic hyperplasia (BPH): a European multi-center evaluation. Eur Urol. 2004;46(4):496–501; discussion 501−2. PubMed PMID: 15363567. Epub 2004/09/15. eng.
Sakr M, Eid A, Shoukry M, Fayed A. Transurethral ethanol injection therapy of benign prostatic hyperplasia: four-year follow-up. Int J Urol. 2009;16(2):196–201. PubMed PMID: 19054163. Epub 2008/12/05. eng.
El-Husseiny T, Buchholz N. Transurethral ethanol ablation of the prostate for symptomatic benign prostatic hyperplasia: long-term follow-up. J Endourol. 2011;25(3):477–80. PubMed PMID: 21355774. Epub 2011/03/02. eng.
Castillo OA, Bolufer E, López-Fontana G, Sánchez-Salas R, Fonerón A, Vidal-Mora I, et al. ProstatectomÃa simple (adenomectomÃa) por vÃa laparoscópica: experiencia en 59 pacientes consecutivos. Actas Urol Esp. 2011;35(7):434–7.
Barret E, Rozet F, Cathelineau X, Vallancien G. The morbidity of laparoscopic versus open simple prostatectomy. J Endourol. 2006;20(2):A271-A. PubMed PMID: WOS:000239906201342. English.
Peltier A, Hoffmann P, Hawaux E, Entezari K, Deneft F, van Velthoven R. Laparoscopic extraperitoneal Millin’ s adenomectomy versus open retropubicadenomectomy: a prospective comparison. Eur Urol Suppl. 2007;6(2):163.
Uffort EE, Jensen JE. Robotic-assisted laparoscopic simple prostatectomy: an alternative minimal invasive approach for prostate adenoma. J Robot Surg. 2010;4:7–10.
Matei DV, Spinelli MG, Nordio A, Brescia A, Crisan N, Coman I. Robotic simple prostatectomy. Eur Urol Supp. 2010;9(2):337.
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Sosnowski, R., Thiruchelvam, N. (2014). Emerging Treatments in BPH. In: Chapple, C., Tubaro, A. (eds) Male LUTS/BPH Made Easy. Springer, London. https://doi.org/10.1007/978-1-4471-4688-9_8
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DOI: https://doi.org/10.1007/978-1-4471-4688-9_8
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