Progress in Surgery for Benign Prostatic Hyperplasia

  • Stuart D. Boyd


Over the last century, surgical correction of bladder outlet obstruction secondary to benign prostatic hyperplasia (BPH) has become a commonly accepted procedure. The surgery has been performed either as an open enucleation of the prostate (retropubic, suprapubic, perineal) or as a transurethral resection or incision of the prostate (TURP, TUIP). The choice between the various procedures is usually based on the size of the prostate and the discretion of the surgeon (Fig. 8.1). In the United States, 90% of prostatectomies for BPH are performed transurethraly and approximately 400 000 TURPs are performed annually. The procedure is considered relatively free of life-threatening complications, and in most patients a satisfactory outcome is achieved, though significant problems can occur.


Benign Prostatic Hyperplasia Bladder Neck Transurethral Resection Bladder Outlet Obstruction Lateral Lobe 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Ashley JSA, Howlett A, Morris JN (1971) Case-fatality of hyperplasia of the prostate in two teaching and three regional board hospitals. Lancet II: 1308–1311CrossRefGoogle Scholar
  2. Beer E (1910) Removal of neoplasms of the urinary bladder. JAMA 54:1768–1769Google Scholar
  3. Belfield WT (1890) Operations on the enlarged prostate, with a tabulated summary of cases. Am J Med Sei 100:439–452CrossRefGoogle Scholar
  4. Bottini E (1877) Radicale Behandlung der auf Hypertrophie de la Prostata beruhenden Ischurie. Arch Klin Chir 21:1–24Google Scholar
  5. Braasch WF (1918) Median bar excisor. JAMA 70:758–759Google Scholar
  6. Breumd, Klavsov P, Munck LK, et al. (1982) Significance of acute urinary retention due to intravesical obstruction. Scand J Urol Nephrol 16:21–25CrossRefGoogle Scholar
  7. Bumpus HC (1927) Punch operation for prostatic obstruction. Surg Clin North Am 7:1473–1478Google Scholar
  8. Costello AJ, Bowsher WG, Bolton DM, et al. (1992) Laser ablation of the prostate in patients with benign prostatic hypertrophy. Br J Urol 69:604–605CrossRefGoogle Scholar
  9. Desormeaux A J (1853) De l’endoscope. Bull Acad MedGoogle Scholar
  10. Fuller E (1905) The question of priority in the adoption of the method of total enucleation, suprapubically, of the hypertrophied prostate. Ann Surg 41:520–534PubMedCrossRefGoogle Scholar
  11. Gouley JWS (1983) Diseases of the urinary organs. William Wood, New YorkGoogle Scholar
  12. Harris SH (1933–1934) Prostatectomy with closure: five years’ experience. Br J Surg 21:434–452CrossRefGoogle Scholar
  13. Holtgrewe HL, Mebust WK, Dowd JB, et al. (1987) Transurethral prostatectomy: practice aspects of the dominant operation in American urology. J Urol 141:248–258Google Scholar
  14. Keitzer W, Cervantes L, Demaculangan A, et al. (1961) Transurethral incision of bladder neck for contracture. J Urol 86:242–244PubMedGoogle Scholar
  15. Lim R, Bolkier M, Levin DR (1992) Prognostic correlations between patients treated for BPH by transurethral resection (TURP) and transabdominal resection (retropubic or suprapubic). J Urol 147:366Google Scholar
  16. McCarthy JF (1931) A new apparatus for endoscopic plastic surgery of prostate, diathermia and excision of vesical growth. J Urol 26:695–696Google Scholar
  17. McGill AF (1887) Suprapubic prostatectomy. Br Med J II: 1104–1105Google Scholar
  18. McLean AJ (1929) The Bovie electrosurgical current generator. Arch Surg 18:1863–1873Google Scholar
  19. Miliin T (1947) Retropubic urinary surgery. Livingstone, EdinburghGoogle Scholar
  20. Murphy LTJ (1972) The history of urology. Charles C. Thomas, Springfield. ILL.Google Scholar
  21. Nielsen KT, Christensen MM, Madsen PO, Bruskewitz RC (1989) Symptom analysis and uroflow- metry 7 years after transurethral resection of the prostate. J Urol 142:1251–1253PubMedGoogle Scholar
  22. Oesterling JE (1991) The obstructive prostate and the intraurethral stent. Contemp Urol 3:61–72Google Scholar
  23. Orandi A (1973) Transurethral incision of the prostate. J Urol 110:229–232PubMedGoogle Scholar
  24. Paulson DF (1984) The prostate. In: Paulson DE (ed) Genitourinary surgery. Churchill Livingstone, New YorkGoogle Scholar
  25. Proust R (1901) Technique de la prostatectomie perineale. Assoc Fr Urol Procr Verb 5:361–388Google Scholar
  26. Roos NP, Wennberg JE, Malenka DJ, et al. (1989) Mortality and reoperation after open and transurethral resection of the prostate for benign prostatic hyperplasia. N Engl J Med 320:1120–1124PubMedCrossRefGoogle Scholar
  27. Stern M (1926) Resection of obstruction at the vesical orifice: new instruments and a new method. JAMA 87:1726–1729Google Scholar
  28. Walker KM (1925) Perurethral operations for prostatic obstruction. Br Med J 1:201–204PubMedCrossRefGoogle Scholar
  29. Young HH (1903) Conservative perineal prostatectomy: presentation of new instruments and technic. JAMA 44:999–1009Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • Stuart D. Boyd
    • 1
  1. 1.Department of UrologyUniversity of Southern California, School of MedicinLos AngelsUSA

Personalised recommendations