Surgical Treatment of BPH: Technique and Results

In the past decade, there have been significant changes in the available treatment options for lower urinary tract symptoms secondary to benign prostatic enlargement. New forms of medical and minimally invasive treatments have been introduced, while other therapies have become obsolete and well-established surgical treatments are being reassessed. Standard surgical options include: transurethral resection of the prostate (TURP), transurethral incision of the prostate (TUIP), and open prostatectomy (adenoma enucleation through a suprapubic transvesical or a retropubic approach) and a discussion of these treatment options is provided in this article. These techniques can still be considered the surgical standard for their respective indications to which other therapies should be compared. The rate of complication is low and the clinical outcome due to removal of the obstruction is excellent and durable over time.