Advances in TURP: Focus on the scienceMost urologists agree that surgical removal of the enlarged portion of the prostate is the most effective and durable way to manage lower urinary tract symptoms in men secondary to BPH. Where it gets interesting is deriving urologic consensus on the best way to achieve that goal.
Testosterone doesn’t worsen lower urinary tract symptoms in men with BPH
Testosterone doesn’t worsen lower urinary tract symptoms in men with BPHA new study has found that testosterone replacement doesn’t worsen lower urinary tract symptoms related to an enlarged prostate. In fact, many men saw their symptoms improve, apparently with little effect on their prostate gland.
For BPH, bipolar, monopolar transurethral resection of the prostate show similar clinical efficacyIn the treatment of BPH, while both bipolar-transurethral resection of the prostate (B-TURP) and monopolar-TURP (M-TURP) have similar clinical efficacy, B-TURP is associated with fewer adverse events, according to a recent systematic review of the two modalities.
Urethral ‘lift’ offers improvements in LUTS, urinary flowA minimally invasive implant procedure led to a 50% improvement in lower urinary tract symptoms due to BPH, which was maintained for a year, results of a randomized trial showed.
Plasma vaporization found superior to TURis, TURP for BPHAs follow-up lengthens in a prospective, randomized, controlled trial, men who underwent bipolar plasma vaporization of the prostate for BPH using the “button” vapo-resection electrode continue to demonstrate significantly better symptom scores and voiding characteristics compared to their counterparts treated by bipolar transurethral resection in saline or monopolar transurethral resection of the prostate.
Urology Product PreviewDrugs and devices in the pipeline from Targacept, Inc., Cubist, OncoGenex Pharmaceuticals, Inc., Apricus Biosciences, and Nymox Pharmaceutical Corp.
Best of AUA 2013: BPH/LUTSBruce R. Kava, MD, presents the take home messages on BPH/LUTS from the AUA annual meeting in San Diego.
Reduced OR, laser time observed with newer PVP systemThe new-generation GreenLight XPS-180W laser system (American Medical Systems, Minnetonka, MN) achieved an improved rate of tissue vaporization and overall efficacy in patients with BPH compared to an earlier generation laser, according to results of a recent multicenter study.
Nerve injury during sling procedure prompts suitIn this case, the woman claimed her damages from the negligent nerve injury included pain and weakness in her legs and a second operation to replace the sling.
AUA 2013: ‘Lift’ procedure shows durable improvement in LUTSMen with symptomatic BPH had statistically significant, durable improvement in lower urinary tract symptoms (LUTS) following an office-based, minimally invasive prostatic urethral lift procedure, results of a pivotal randomized trial showed.