Reich O, Seitz M, Gratzke C, Schlenker B, Walther S, Stief C
Urologische Klinik und Poliklinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität München, 81377, München, Deutschland.
Urologe A. 2010 Jan;49(1):113-26. doi: 10.1007/s00120-009-2183-1.
The surgical treatment options available today for benign prostatic hyperplasia (BPH) can take various forms and often follow a course of pharmacological therapy. In addition to conventional transurethral resection of the prostate (TURP) and its modifications (bipolar resection), which has represented the standard therapeutic option for decades, the focus of research and clinical application has shifted to alternative so-called "minimally invasive" instrumental techniques, such as transurethral microwave therapy (TUMT) and, particularly more recently, to the different laser-assisted techniques. By reviewing the current literature, preferably from randomized controlled trials, critical appraisals of the individual procedures are made.
如今，良性前列腺增生（BPH）的手术治疗选择形式多样，且通常遵循药物治疗的疗程。除了代表了数十年标准治疗选择的传统经尿道前列腺切除术（TURP）及其改良术（双极切除术）外，研究和临床应用的重点已转向替代性的所谓“微创”器械技术，如经尿道微波热疗（TUMT），尤其是最近，转向了不同的激光辅助技术。通过回顾当前文献，最好是来自随机对照试验的文献，对各个手术进行批判性评估。
