Surgical methods for benign prostatic hyperplasia treatment. Literature review

Benign prostatic hyperplasia (BPH) is one of the most common conditions affecting middle-aged men. Up to 15-25% of men aged 50 to 65 years have symptoms of the lower urinary tract (LUP), which are usually associated with benign growth of prostate tissue. Although LUTs are often associated with BPH, LUTs can also be caused by various unrelated syndromes, such as heart failure, urinary tract infections, and diabetes mellitus. This article provides a review of publications on the topic of modern and current methods of treatment of prostate hyperplasia, as well as an analysis of their effectiveness and safety. The emergence of a large number of surgical methods for the treatment of prostate hyperplasia predetermined the search for the most effective and safe of them. The data of a prospective, comparative study conducted by us at the Department of Urology of the Moscow State Medical University named after A.I. Evdokimov on the basis of the State Medical University named after S.I. Spasokukotsky allowed us to summarize that all the methods of surgical treatment of BPH presented in this article have demonstrated their effectiveness, but, at the same time, only the methods of tulium enucleation and TURP allow the operation to be performed endoscopically, preserving the integrity of the skin, safely and radically.