Benign prostatic hyperplasia: Difference between revisions

'''Benign prostatic hyperplasia''' (BPH) is an idiopathic but common benign condition which affects older men. The prevalence increases with age and it affects 70% of males > 60 years. It is characterised by a slowly growing prostate which compresses the urethra and causes chronic lower [[urinary tract obstruction]], causing [[lower urinary tract symptoms]] (LUTS). It can be managed with medicines or surgical removal.

* Transurethral resection of the prostate (TUR-P)

** Gold standard for BPH

** Only if the prostate is not very large (< 80 g)

* Simple prostatectomy

** For large prostates (> 80g)

** Only central and transitional zones are removed

*** Peripheral zone remains

** Most commonly transvesically

*** Entry suprapubically

*** Operation is called transvesical adenectomy or Freyer prostatectomy

** Can also be accessed through the perineum or the lower abdomen (retropubic)