Erschienen in:
12.03.2024
Evaluation of Current Surgical BPH Interventions for Young and Elderly Men
verfasst von:
Timothy W. Brandt, Jacqueline M. Luizzi, Ronald J. Caras
Erschienen in:
Current Urology Reports
|
Ausgabe 5/2024
Einloggen, um Zugang zu erhalten
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.