Abstract
The indications for endoscopic surgery vary within wide limits, depending chiefly upon the surgeon who is to perform the operation. If he has had adequate training and extensive experience in endoscopic surgery, the indications for him will include the removal of prostates weighing up to 150 to 200 grams, the resection of bladder tumors as large as 4 to 5 cm. in diameter, the crushing of stones up to 3 to 4 cm. in diameter and other procedures which are technically difficult. Surgeons who have not had this extensive training and experience, or who are unequipped in other ways to perform the more difficult endoscopic procedures, will limit the use of this approach to the small sized lesions. If a surgeon has had no training or experience in endoscopic surgery, there is no indication for its use by him; it is better for him not to attempt it. For the average urologist, endoscopic surgery is indicated for relief of bladder neck obstruction due to prostatic carcinoma which does not respond to hormone therapy and for removal of bladder neck contractures, median bars and the smaller prostatic adenomas. Small bladder tumors, small stones and sometimes Hunner ulcers and other intravesical lesions can usually be removed more successfully by the average urologist through the endoscopic approach than by open surgery. The ultimate factor determining the approach best suited to a given case is the operator himself. If he has established proficiency at removing large prostates and other lesions endoscopically, there is no contraindication to continuance of this method in his hands.
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References
Adams, P.: Prostatic obstruction complicated by diverticula of bladder. J. Urol. (Baltimore) 49, 558–574 (1943).
Albuquerque, P. F. de, and E. Torres: Occult carcinoma of prostate: clinical and pathologic considerations. Rev. bras. Med. 12, 520–523 (1955).
Antonio jr D.: The operative management of hypertrophy of prostate with complicating coronary heart disease. J. Urol. (Baltimore) 50, 344–354 (1943).
Baker, R.: Correlation of circumferential lymphatic spread of vesical cancer with depth of infiltration; relation to present methods of treatment. J. Urol. (Baltimore) 73, 681–690 (1955).
Barnes, R. W., and R. T. Bergman: Transurethral diverticulotomy: prehminary report. Urol. cutan. Rev. 42, 15–17 (1938).
Brunkow, C. D.: Evaluation of size of bladder neoplasms. J. Urol. (Baltimore) 70, 234–236 (1953).
Emmett, J. L., and J. B. Beare: Transurethral resection for vesical dysfunction in cases of tabes dorsalis. J. Amer. med. Ass. 136, 1093–1096 (1948).
Graham, J. B., and G. J. Bulkley: Angioma of bladder. J. Urol. (Baltimore) 74, 777–779 (1955).
Greenberger, M. E., and J. H. Winer: Transurethral resection for fibroade-matous hypertrophy of prostate in tuberculous patients. Quart Bull. Seas View Hosp. 5, 161–166 (1940).
Heckenbach, W.: Die Behandlung der Blasengeschwülste. Z. Urol. 33, 268–287 (1939).
Kiefer, J. H.: Bladder tumor recurrence in urethra; a warning. J. Urol. (Baltimore) 69, 652–656 (1953).
Ktrwin, T. J., and G. A. Hawes: Diagnostic value of residual urine estimation. J. Urol. (Baltimore) 41, 413–430 (1939).
Malament, M., and R. C. Bunts: Transurethral resection and neurogenic bladder. Virginia med. Monthly 78, 243–246 (1949).
Marshall, V.I 1.: Relation of preoperative estimate to pathologic demonstration of extent of vesical neoplasms. J. Urol. (Baltimore) 68, 714–723 (1952).
Melicow, M. M.: Tumors of urinary bladder; a clinico-pathological analysis of over 2500 specimens and biopsies. J. Urol. (Baltimore) 74, 498–521 (1955).
Middleton, R. P.: Henry Jacob Bigelow and his operation; a major contribution to modern urology comes finally into its own. J. Urol. (Baltimore) 49, 883–888 (1943).
Moore, T. D., A. L. Herring and D. A. McCannell: Some urological aspects of endometriosis. J. Urol. (Baltimore) 49, 171–177 (1943).
O’Brien, H.A., J.D.Mitchell and E.C.Martin: Transurethral resection of large prostates. J. Urol. (Baltimore) 62, 225–230 (1949).
Peyton, A. B.: Bladder neck obstruction in young male adult. J. Urol. (Baltimore) 69, 109–117 (1953).
Shivers, C. H. de T.: Medical findings in benign prostatic hyperplasia; a new method of grouping cases for operation. J. Urol. (Baltimore) 49, 847–856 (1943).
Thompson, G. J., and J. H. Kaplan: Advantages of transurethral removal of certain bladder tumors. J. Urol. (Baltimore) 73, 270–279 (1955).
Wessell, M. S., A. B. Kttritz, R. A. Burger and G. W. Reagan: Mucinous carcinoma of urachus invading bladder. J. Urol. (Baltimore) 67, 523–525 (1952)
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© 1959 Springer-Verlag OHG. Berlin · Göttingen · Heidelberg
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Barnes, R.W., Bergman, R.T., Hadley, H.L. (1959). Indications for endoscopic surgery. In: Endoscopy. Handbuch der Urologie / Encyclopedia of Urology / Encyclopédie d’Urologie, vol 6. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-86571-8_17
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DOI: https://doi.org/10.1007/978-3-642-86571-8_17
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