Management of Benign Prostatic Hypertrophy

Description

Numerous recent advances in the medications and technologies available to treat benign prostatic hyperplasia (BPH) raise many questions for practicing urologists seeking optimal therapies for their patients. In Management of Benign Prostatic Hypertrophy, a panel of internationally recognized expert clinicians and investigators in urology review the new treatments in the light of established urologic principles and tradition. The authors concisely evaluate the latest minimally invasive therapies, as well as time-tested surgical treatments, and review the medical therapies for BPH, namely a-adrenergic antagonists, 5a-reductase inhibitors, and their therapeutic combinations. Additional chapters examine the pathophysiology and natural history of BPH, its epidemiology, and the urodynamic evaluation of lower urinary tract symptoms, with special attention given to a more current understanding and treatment of postobstructive diuresis, a significant medical complication and frequent source of urologic consultation. Grounded in the principles and hallmarks of urology, Management of Benign Prostatic Hypertrophy satisfies the needs of practicing urologists seeking a concise up-to-date interpretation and analysis of the many new therapies available for the treatment of BPH. Front Matter....Pages i-x Prostate Anatomy and Causative Theories, Pathophysiology, and Natural History of Benign Prostatic Hyperplasia....Pages 1-19 The Definition of Benign Prostatic Hyperplasia....Pages 21-33 Pathophysiology, Diagnosis, and Treatment of the Postobstructive Diuresis....Pages 35-45 Urodynamics and the Evaluation of Male Lower Urinary Tract Symptoms....Pages 47-60 α-Adrenergic Antagonists in the Treatment of Benign Prostatic Hypertrophy-Associated Lower Urinary Tract Symptoms....Pages 61-77 5α-Reductase Inhibitors....Pages 79-96 Transurethral Needle Ablation of the Prostate....Pages 97-108 Transurethral Microwave Thermotherapy....Pages 109-124 Transurethral Incision of the Prostate....Pages 125-139 Interstitial Laser Coagulation and High-Intensity Focused Ultrasound for the Treatment of Benign Prostatic Hyperplasia....Pages 141-162 Transurethral Resection of the Prostate....Pages 163-193 Transurethral Vaporization of the Prostate....Pages 195-210 Treatment of Benign Prostatic Hyperplasia with Ethanol Injections, Water-Induced Thermotherapy, and Prostatic Urethral Luminal Stents....Pages 211-220 Suprapubic Transvesical Prostatectomy and Simple Perineal Prostatectomy for the Treatment of Benign Prostatic Hyperplasia....Pages 221-262 Back Matter....Pages 263-269