Patel Rohan M, Bariol Simon
Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
Department of Urology, Westmead Hospital and Discipline of Surgery, The University of Sydney, Sydney, New South Wales, Australia.
ANZ J Surg. 2019 Apr;89(4):345-349. doi: 10.1111/ans.15016. Epub 2019 Feb 1.
To determine national trends in the utilization of surgical procedures for the treatment of benign prostatic hyperplasia (BPH) in Australia over the last 20 years.
The Medicare Australia and Australian Institute of Health and Welfare databases were used to determine the annual number of surgical procedures and hospital admissions for BPH.
From 1998 to 2017, surgical procedures for BPH have increased by 79% which is largely commensurate with population growth. From 1998 to 2008, transurethral resection of the prostate (TURP) was the predominant surgical therapy, accounting for 96% of all surgical treatments. From 2008 to 2017, TURP use reduced to 70% and in the last 5 years has been replaced with photoselective vaporization (16%), UroLift (8%) and holmium laser prostatectomy (6%). UroLift is used significantly more in younger men (P < 0.001).
There has been a substantial increase in surgical treatments for BPH over the last 20 years. In the last 5 years, TURP use has declined due to an increase in laser prostatectomy and UroLift procedures.
确定过去20年澳大利亚良性前列腺增生（BPH）手术治疗的全国利用趋势。
使用澳大利亚医疗保险和澳大利亚卫生与福利研究所的数据库来确定BPH的年度手术数量和住院人数。
1998年至2017年，BPH的手术数量增加了79%，这在很大程度上与人口增长相当。1998年至2008年，经尿道前列腺切除术（TURP）是主要的手术治疗方法，占所有手术治疗的96%。2008年至2017年，TURP的使用降至70%，在过去5年中已被光选择性汽化术（16%）、UroLift（8%）和钬激光前列腺切除术（6%）所取代。UroLift在年轻男性中的使用显著更多（P < 0.001）。
在过去20年中，BPH的手术治疗有了大幅增加。在过去5年中，由于激光前列腺切除术和UroLift手术的增加，TURP的使用有所下降。
