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Benign Prostatic Hyperplasia - Conservative and Operative Management (Paperback, Softcover reprint of the original 1st ed. 1992)
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Benign Prostatic Hyperplasia - Conservative and Operative Management (Paperback, Softcover reprint of the original 1st ed. 1992)
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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. . . . . . ."
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