Prevention and treatment of late complications of adenomectomy

Most often, patients with severe lower urinary tract symptoms (according to the IPSS scale) who are resistant to conservative therapy, as well as patients with complications of benign prostatic hyperplasia, are candidates for surgical treatment. For many years, transurethral resection of prostatic hyperplasia has been the "gold standard" of surgical treatment (in terms of effectiveness), but the occurrence of late complications stimulated researchers to develop new treatment methods. Open adenomectomy (most often percutaneous), recommended by the European Association of Urologists as an effective method of treating patients with a gland volume >80 cm3, is characterized by a long stay in the hospital and serious complications, such as massive blood loss, infection, urethral stricture and sclerosis of the bladder neck. The purpose of this review article was to study the risk factors for the development of late complications after open adenomectomy and transurethral resection in benign prostatic hyperplasia.