Anatomical endoscopic enucleation of the prostate: The next gold standard? Yes!

Abstract:

:Anatomical endoscopic enucleation of the prostate (AEEP) differs from other surgical techniques for benign prostatic obstruction (BPO) in that it removes the entire benign prostatic hyperplasia (BPH) component of the prostate. We summarise the main advantages of AEEP compared to other surgical techniques for BPO. These include better urodynamic relief of bladder outlet obstruction, superior outcomes for urinary retention even in the presence of impaired detrusor contractility, safe and effective for any size prostate, and superior durability compared to vaporisation and resection techniques. We summarise evidence that suggests AEEP offers outcomes that are independent of patient age and prostate volume. We conclude that AEEP is the gold standard surgical treatment for men with either lower urinary tract symptoms (LUTS) or urinary retention, regardless of prostate volume, detrusor contractility and age. It offers the ability to safely and effectively treat a wider range of patients than any other BPO procedure. More widespread use of mentorship programmes, that take advantage of the growing number of experienced mentors, is recommended to train more urologists in AEEP.

journal_name

Andrologia

journal_title

Andrologia

authors

Aho T,Armitage J,Kastner C

doi

10.1111/and.13643

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

e13643

issue

8

eissn

0303-4569

issn

1439-0272

journal_volume

52

pub_type

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