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Suprapubic Transvesical Prostatectomy and Simple Perineal Prostatectomy for the Treatment of Benign Prostatic Hyperplasia

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Management of Benign Prostatic Hypertrophy

Abstract

There are a variety of well-defined goals associated with the surgical management of benign prostatic hyperplasia (BPH) voiding dysfunction. It is imperative that the operative approach selected adequately correct all of the significant pathophysiologic effects of bladder neck obstruction, including the following: (1) recurrent urinary tract infections; (2) the development of bladder stones; (3) episodes of gross hematuria unresponsive to finasteride; (4) urinary retention unresponsive to α-blocker therapy; (5) the development of large bladder diverticula with narrow necks and associated urinary stasis; (6) postrenal azotemia; and (7) chronically elevated postvoid residual levels (PVR) with or without overflow incontinence (1).

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Kozlowski, J.M., Smith, N.D., Grayhack, J.T. (2004). Suprapubic Transvesical Prostatectomy and Simple Perineal Prostatectomy for the Treatment of Benign Prostatic Hyperplasia. In: McVary, K.T. (eds) Management of Benign Prostatic Hypertrophy. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-644-7_14

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  • DOI: https://doi.org/10.1007/978-1-59259-644-7_14

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4684-9806-6

  • Online ISBN: 978-1-59259-644-7

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