Benign Prostatic Hyperplasia

1. Front Matter

   Pages i-xi

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2. Develepment of Benign Prostatic Hyperplasia

   1. Development of Benign Prostatic Hyperplasia

      • J. E. Altwein, H. Baur

      Pages 1-13

3. Bladder Outflow Obstruction: Definition, Clinical Application, and Grading in Benign Prostatic Hyperplasia

   1. Bladder Outflow Obstruction: Definition, Clinical Application, and Grading in Benign Prostatic Hyperplasia

      • W. Schäfer

      Pages 14-28

4. Operative Treatment

   1. Front Matter

      Pages 29-29

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   2. When Should Open Prostatectomy Be Performed?

      • G. Hubmer, T. Colombo, M. Rauchenwald

      Pages 31-34

   3. Retropubic Transcervical Prostatectomy Without Catheter as a Modification of the Millin Technique

      • H. Baur, J. E. Altwein

      Pages 35-42

   4. Video-Guided Transurethral Resection: Raising the Gold Standard

      • P. Faul

      Pages 43-55

   5. Transurethral Resection of the Prostate in Benign Prostatic Hyperplasia

      • H. Borchers, G. Jakse

      Pages 56-65

   6. TURP Syndrome: Monitoring of Immunologic Parameters and Breath-Ethanol Content During Transurethral Prostatic Resection

      • M. Sohn, C. Vogt, G. Heinen, N. Nordmeyer, G. Jakse

      Pages 66-74

   7. Urodynamic Assessment in Patients Undergoing Transurethral Resection of the Prostate: A Prospective Study

      • P.-H. Langen, W. Schäfer, G. Jakse

      Pages 75-84

   8. Erectile Dysfunction After Transurethral Prostatectomy

      • R. Sikora, S. Dahms, R. Bosshardt, M. Sohn, G. Jakse

      Pages 85-91

5. Nonoperative Treatment

   1. Front Matter

      Pages 93-93

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   2. Are Metallic Endourological Stents an Alternative to Prostatectomy in the Management of Benign Prostatic Hyperplasia?

      • C. R. Chapple

      Pages 95-108

   3. Balloon Dilatation of the Prostate

      • J. A. Vale, R. S. Kirby

      Pages 109-118

   4. Urodynamic Studies Before and After Transurethral Balloon Dilatation of the Prostate

      • P. De Geeter, W. Holtermann, H.-J. Melchior

      Pages 119-126

   5. Hyperthermia or Thermotherapy of Benign Prostatic Hyperplasia: What Is the Difference?

      • R. Harzmann, D. Weckermann

      Pages 127-133

   6. Transrectal Hyperthermia in Benign Prostatic Hyperplasia

      • P. Van Erps, L. J. Denis

      Pages 134-142

   7. Transurethral Microwave Thermotherapy of the Prostate: Principles and Early Clinical Results

      • M. Devonec, M. Cathaud, J. P. Fendler, G. Bringeon, T. Dujardin, P. Perrin

      Pages 143-151

6. Medical Treatment

   1. Front Matter

      Pages 153-153

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   2. Is Pharmacotherapy for Benign Prostatic Hyperplasia an Alternative?

      • C. R. Chapple

      Pages 155-171

An intense discussion has recently begun regarding current standards in the diagnosis and treatment of benign prosta­ tic hyperplasia (BPH). A number of factors have led to this discussion. In an increasing proportion of aging men, for example, BPH causes so-called obstructive symptoms that must be relieved by medical or operative means. This entails an immense social and economic impact in terms of health costs. In addition, recent data indicate the most frequently performed operation for BPH - transurethral resection of the prostate - is associated with a higher risk of death due to cardiac disease than open prostatectomy. Furthermore, studies using the recently developed technique of uro­ dynamics to assess bladder outflow obstruction reveal that about 20% -30% of patients treated with transurethral resection or open prostatectomy are actually not obstructed. This means that these patients do not receive the most effective therapy. Finally, various new treatment been developed, including medical treat­ modalities have ment directed at endocrine pathways in the prostatic cells, balloon dilatation, spirals, temporary or permanent stents, C). nd the application of heat in hyperthermia or thermo­ therapy. The contributions to this volume were selected from a symposium on the diagnosis and treatment of BPH. They are intended to provide a comprehensive review of the state of the art in treating BPH. Aachen, Liege, Maastricht, September 1992 The Editors Contents Development of Benign Prostatic Hyperplasia 1 J. E. Altwein and H. Baur Bladder Outflow Obstruction: Definition, Clinical Application, and Grading in Benign Prostatic Hyperplasia. . . . . . .

• Prostataerkrankung
• Prostatahyperplasie
• Urologie
• benign prostatic hyperplasia (BPH)
• bladder outlet obstruction
• endocrinology
• erectile dysfunction
• mortality
• operative, nonoperative and meddical treatment
• prostate
• prostatectomy
• transurethral balloon dilatation
• transurethral resection (TURP)
• treatment
• urology

• Medizinische Fakultät der RWTH Aachen, Urologische Klinik, Aachen, Germany

  Gerhard Jakse

• Service d’Urologie, Centre Hospitalier Universitaire, Liège 1, Belgium

  Christian Bouffioux, Jean Leval

• Department of Urology, Academisch Ziekenhuis Maastricht, Maastricht, The Netherlands

  Rudi A. Janknegt

Policies and ethics