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Optimization of Treatment for Benign Prostatic Hyperplasia: Outcome of Clinical Trails and Future Directions

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Benign Prostatic Hyperplasia

Abstract

It has been estimated that 800 000 American males present annually with symptoms and signs of benign prostatic hyperplasia (BPH) requiring some therapy. Of these 800 000 patients, 400 000 are treated surgically each year (Rutkow 1986). The annual cost of treatment of BPH was estimated in the United States in 1990 to be approximately 4.0 billion dollars (Cotton 1991). In spite of a large number of patients being treated for BPH, the indications for the treatment are not well defined. It has been suggested that less than 25% of surgically treated patients have “solid“ indications for this treatment. Wide geographic variations in the incidence of prostatectomy have been reported. In an interesting study comparing the incidence of common surgical procedures between New England, Norway, and the West Midlands District of England, the incidence of prostatectomy per 100 000 population was 264, 236, and 132, respectively (McPherson et al. 1982). If the current incidence of prostatectomy does not change, nearly 30% of American males will have undergone this procedure by the age of 80 (Glynn et al. 1985).

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© 1994 Springer-Verlag Berlin Heidelberg

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Petrovich, Z., Ameye, F., Baert, L. (1994). Optimization of Treatment for Benign Prostatic Hyperplasia: Outcome of Clinical Trails and Future Directions. In: Petrovich, Z., Baert, L. (eds) Benign Prostatic Hyperplasia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78185-8_20

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  • DOI: https://doi.org/10.1007/978-3-642-78185-8_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78187-2

  • Online ISBN: 978-3-642-78185-8

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