Read e-book online Benign Prostatic Hyperplasia: Conservative and Operative PDF

By J. E. Altwein, H. Baur (auth.), Prof. Dr. Gerhard Jakse, Prof. Dr. Christian Bouffioux, Prof. Dr. Jean de Leval, Prof. Dr. Rudi A. Janknegt (eds.)

ISBN-10: 3642774806

ISBN-13: 9783642774805

ISBN-10: 3642774822

ISBN-13: 9783642774829

An extreme dialogue has lately began concerning present criteria within the prognosis and therapy of benign prosta­ tic hyperplasia (BPH). a few elements have resulted in this dialogue. In an expanding percentage of getting older males, for instance, BPH explanations so-called obstructive signs that needs to be relieved via scientific or operative skill. This includes an enormous social and financial effect by way of wellbeing and fitness expenditures. moreover, fresh info point out the main usually played operation for BPH - transurethral resection of the prostate - is linked to a better chance of demise as a result of cardiac disorder than open prostatectomy. moreover, experiences utilizing the lately built means of uro­ dynamics to evaluate bladder outflow obstruction exhibit that approximately 20% -30% of sufferers taken care of with transurethral resection or open prostatectomy are literally no longer obstructed. which means those sufferers don't obtain the simplest treatment. ultimately, a number of new therapy been built, together with scientific deal with­ modalities have ment directed at endocrine pathways within the prostatic cells, balloon dilatation, spirals, transitority or everlasting stents, C). nd the appliance of warmth in hyperthermia or thermo­ treatment. The contributions to this quantity have been chosen from a symposium at the analysis and remedy of BPH. they're meant to supply a accomplished evaluate of the cutting-edge in treating BPH. Aachen, Liege, Maastricht, September 1992 The Editors Contents improvement of Benign Prostatic Hyperplasia 1 J. E. Altwein and H. Baur Bladder Outflow Obstruction: Definition, scientific software, and Grading in Benign Prostatic Hyperplasia. . . . . . .

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Extra info for Benign Prostatic Hyperplasia: Conservative and Operative Management

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Iglesias 11, Stams UK (1977) Uber die Wichtigkeit der kontinuierlichen Absaugung flir die hydraulische Haemostase bei der transurethralen Resektion derProstata. Urologe [B] 17:234-238 13. Jackson RW (1978) Video arthroscopy: a permanent medical record. Am J Sports Med 6:213-216 14. McNicholas TA, Jones 11, Sibley GNA (1989) AIDS: the contamination risk in urological surgery. Br J Urol63:565-568 15. O'Boyle PJ, Lumb GN, Appleton GVN (1984) Videoprostatectomy. Brd Congress", Endourology, Karlsruhe, p 323 16.

A good diuresis generally avoids this complication. The first drain is removed on the third postoperative day, the second on the sixth or seventh day. Some patients may pass urine per urethram although the drainage system works sufficiently; however, this occurs mainly due to detrusor spasms. The functional reshlts have been excellent. Only three patients have developed moderate stricture of the bladder neck (Table 1). Eightyfive patients came to the operation without infection and these patients were not treated with antibiotics; in this group only ten developed a significant urinary infection after surgery (Table 2).

Gammelgaard PA, Andersen JT, Meyhoff HH (1983) Clinical significance of urodynamic measurements. In: Hinman F Jr (ed) Benign prostatic hypertrophy. Springer, Berlin Heidelberg New York, pp S02-S06 S. Griffiths DJ (1980) Urodynamics. Hilger, Bristol (Medical physics handbooks, vol 4) 6. Griffiths DJ, van Mastrigt R, Bosch R (1989) Quantification of urethral resistance and bladder function during voiding, with special reference to the effects of prostate size reduction on urethral obstruction due to benign prostatic hyperplasia.

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Benign Prostatic Hyperplasia: Conservative and Operative Management by J. E. Altwein, H. Baur (auth.), Prof. Dr. Gerhard Jakse, Prof. Dr. Christian Bouffioux, Prof. Dr. Jean de Leval, Prof. Dr. Rudi A. Janknegt (eds.)


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