Surgical Management of Male Voiding Dysfunction

Abstract

Benign prostatic hypertrophy (BPH) is a common cause of voiding dysfunction. BPH may lead to bladder outlet obstruction and resultant troublesome lower urinary tract symptoms. Initial management of BPH and bladder outlet obstruction is typically conservative. However, when symptoms are severe or refractory to medical therapy or when urinary retention, bladder stone formation, recurrent urinary tract infections, or upper urinary tract deterioration occur, surgical intervention is often necessary. Numerous options are available for surgical management of BPH ranging from simple office-based procedures to transurethral operative procedures and even open and robotic surgeries. This article reviews the current, most commonly used techniques available for surgical management of BPH.

Keywords: Benign prostatic hypertophy; Holmium laser enucleation of the prostate; Lower urinary tract symptoms; Open simple prostatectomy; Photoselective vaporization of the prostate; Transurethral resection of the prostate.