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Current Urology Reports

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12-03-2024 | Benign Prostatic Hypertrophy

Evaluation of Current Surgical BPH Interventions for Young and Elderly Men

Authors: Timothy W. Brandt, Jacqueline M. Luizzi, Ronald J. Caras

Published in: Current Urology Reports | Issue 5/2024

Abstract

Purpose of Review

Benign prostatic hyperplasia affects the quality of life of a significant number of men, especially as they age. There are continuous innovations in the surgical management of benign prostatic hyperplasia, but many of these innovations are studied in the core population of men 50–70 years of age. This review focuses on the outliers of men aged 18–50 and 70 and older.

Recent Findings

Older populations have more comorbidities, higher rates of antithrombotic medications, and advanced symptoms. Properly selected older men can safely have significant objective and subjective improvement in their symptoms. The literature was scarce when evaluating younger men; however, ejaculatory preserving techniques are promising providing improvement in symptoms and preserving ejaculation.

Summary

This review demonstrates that in properly selected elderly patients, improvements in quality of life while also providing safe surgical interventions can be achieved. Ejaculatory preservation techniques demonstrate promising results, but further studies are required to elucidate true outcomes.

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Title: Evaluation of Current Surgical BPH Interventions for Young and Elderly Men
Authors: Timothy W. Brandt
Jacqueline M. Luizzi
Ronald J. Caras
Publication date: 12-03-2024
Publisher: Springer US
Keywords: Benign Prostatic Hypertrophy
Benign Prostatic Hypertrophy
Transurethral Prostate Resection
Laser
Published in: Current Urology Reports / Issue 5/2024
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI: https://doi.org/10.1007/s11934-024-01198-5

At a glance: The STEP trials

Springer Medicine

Evaluation of Current Surgical BPH Interventions for Young and Elderly Men

Abstract

Purpose of Review

Recent Findings

Summary

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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