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    Minimally invasive surgical therapies for benign prostatic hypertrophy: The rise in minimally invasive surgical therapies

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    Author
    Christidis, D; McGrath, S; Perera, M; Manning, T; Bolton, D; Lawrentschuk, N
    Date
    2017-06-01
    Source Title
    Prostate International
    Publisher
    ELSEVIER INC
    University of Melbourne Author/s
    Lawrentschuk, Nathan; Perera, Marlon Lakmal; Bolton, Damien
    Affiliation
    Surgery (Austin & Northern Health)
    Metadata
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    Document Type
    Journal Article
    Citations
    Christidis, D., McGrath, S., Perera, M., Manning, T., Bolton, D. & Lawrentschuk, N. (2017). Minimally invasive surgical therapies for benign prostatic hypertrophy: The rise in minimally invasive surgical therapies. PROSTATE INTERNATIONAL, 5 (2), pp.41-46. https://doi.org/10.1016/j.prnil.2017.01.007.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/258331
    DOI
    10.1016/j.prnil.2017.01.007
    Abstract
    The prevalence of benign prostatic hypertrophy (BPH) causing bothersome lower urinary tract symptoms increases with our ageing population. Treatment of BPH traditionally begins with medical therapy and surgical intervention is then considered for those whose symptoms progress despite treatment. Minimally invasive surgical therapies have been developed as an intermediary in the treatment of BPH with the aim of decreasing the invasiveness of interventions. These therapies also aim to reduce morbidity and dysfunction related to invasive surgical procedures. Multiple treatment options exist in this group including mechanical and thermo-ablative strategies. Emerging therapies utilizing differing technologies range from the established to the experimental. We review the current literature related to these minimally invasive therapies and the evidence of their effectiveness in treating BPH. The role of minimally invasive surgical therapies in the treatment of BPH is still yet to be strongly defined. Given the experimental nature of many of the modalities, further study is required prior to their recommendation as alternatives to invasive surgical therapy. More mature evidence is required for the analysis of durability of effect of these therapies to make robust conclusions of their effectiveness.

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