Treatment of Benign Prostatic Hyperplasia

by K. Koshiba, M. Miki, T. Terachi, T. Uchida

Overview

Benign prostatic hyperplasia (BPH) is an age-related, nonmalignant condition that may lead to bothersome lower urinary tract symptoms. The standard treatment of BPH has been ordinary loop transurethral prostatectomy, but new therapies have been developed as a combined result of research, technological advances, and the cumulative experience of urological surgeons. Among the most promising therapeutic alternatives to ordinary loop resection are those that deliver topical or interstitial heat to prostatic tissue. Transurethral microwave thermotherapy, visual laser ablation with the Nd:YAG laser, high-intensity focused ultrasound, and transurethral electrovaporization are some of the techniques described in this book. These innovative procedures, employed by skilled urologists using state-of-the-art instruments, hold forth the promise of improved quality of life for BPH patients and represent significant advances in the field of urology.

Product Details

ISBN-13:	9784431702849
Publisher:	Springer Japan
Publication date:	07/19/2000
Series:	Recent Advances in Endourology , #2
Edition description:	2000
Pages:	200
Product dimensions:	6.10(w) x 9.25(h) x 0.02(d)

About the Author

Koshiba, Ken, MD, FACS (Kitasato Univ); Miki, Makoto, MD (Tokyo Univ); Terachi, Toshiro, MD, DMSc (Tenri Hospital); Uchida, Toyoaki, MD (Kitasato Univ)

Table of Contents

Editorial Review of Treatment of Benign Prostatic Hyperplasia.- Energy and Physical Principles for the Treatment of Benign Prostatic Hyperplasia.- Transurethral Microwave Thermotherapy.- The Targis Microwave Treatment System for Lower Urinary Tract Symptoms of Benign Prostatic Hyperplasia: Performance Characteristics and Clinical Experience.- Transurethral Microwave Thermotherapy: UMW Microwave Thermal Unit.- Transurethral Balloon Laser Thermotherapy for Treatment of Benign Prostatic Hyperplasia.- Interstital Laser Ablation of the Prostate.- Visual Laser Ablation of the Prostate.- Holmium Laser Resection of the Prostate.- Clinical Application of High-Intensity Focused Ultrasound for Benign Prostatic Hyperplasia.- Transurethral Needle Ablation of the Prostate.- Basic Study on Transurethral Electrosurgical Vaporization of the Prostate.- Transurethral Electrovaporization of the Prostate.- High-Energy TURP Using a Thick Loop.- Transurethral Resection of the Prostate.- Transurethral Electrochemical Treatment of Benign Prostatic Hyperplasia.

Editorial Reviews

Reviewer: Steven A. Kaplan, MD (Columbia University)
Description: This book is a review of the safety and efficacy of various treatments for BPH. This includes both minimally invasive as well as invasive therapies such as thermotherapy and laser prostatectomy. Many of the contributors are the leaders in the various technologies described,
Purpose: The purpose is to provide an objective evaluation of the various treatments for BPH. This includes a basic understanding of the physiology and principles of heat treatments of the prostate.
Audience: All urologists, whether in residency training or practice, are the intended audience. This book would also benefit non-urologists interested in a quick reference guide to alternative treatments for BPH.
Features: Included are 15 chapters ranging from a basic introduction to energy and physical principles to descriptive chapters of specific therapies. Three chapters are devoted to thermotherapy utilizing various machines, four chapters to various laser delivery systems, and one to focused ultrasound. The remaining chapters are devoted to both transurethral resection and modifications of electrosurgical principles.
Assessment: This is a fair to moderate review of the current literature. Strong points include the quantity of subjects covered, albeit some no are longer used (e.g., transurethral balloon laser thermotherapy). In addition, some of the chapter contributors tend to focus on their particular personal experience as opposed to a more objective critique of the literature. Nevertheless, this book can serve as a handy guide for urologists to review various minimally invasive and surgical treatments for BPH.

Doody's Review Service

2 Stars from Doody

This book is a review of the safety and efficacy of various treatments for BPH. This includes both minimally invasive as well as invasive therapies such as thermotherapy and laser prostatectomy. Many of the contributors are the leaders in the various technologies described, The purpose is to provide an objective evaluation of the various treatments for BPH. This includes a basic understanding of the physiology and principles of heat treatments of the prostate. All urologists, whether in residency training or practice, are the intended audience. This book would also benefit non-urologists interested in a quick reference guide to alternative treatments for BPH. Included are 15 chapters ranging from a basic introduction to energy and physical principles to descriptive chapters of specific therapies. Three chapters are devoted to thermotherapy utilizing various machines, four chapters to various laser delivery systems, and one to focused ultrasound. The remaining chapters are devoted to both transurethral resection and modifications of electrosurgical principles. This is a fair to moderate review of the current literature. Strong points include the quantity of subjects covered, albeit some no are longer used (e.g., transurethral balloon laser thermotherapy). In addition, some of the chapter contributors tend to focus on their particular personal experience as opposed to a more objective critique of the literature. Nevertheless, this book can serve as a handy guide for urologists to review various minimally invasive and surgical treatments for BPH.

Steven A. Kaplan