Long Term Complications

Long-term complications following TURP primarily include urinary tract infection, obstruction, incontinence, and erectile dysfunction, although there is debate about whether the latter is truly associated with the procedure. Interestingly, despite the use of prophylactic and perioperative antibiotics, delayed genitourinary infection is still a significant problem after TURP, accounting for nearly half of long-term complications 4 21 . This is probably not a result of persistent bacteriuria from...

Androgen And Prostate Growth

Pseudohermaphrodites

The prostate gland is dependent on androgens that are produced exogenously by the testicles to facilitate normal development and to maintain normal structure and function 1 . Briefly, the testes are stimulated to produce and secrete testosterone and other steroids by an exogenous protein, luteinizing hormone, which is made in the pituitary gland. Testosterone T is converted to its reduced form, dihydrotestosterone DHT , by the enzyme 5a-reductase in the prostate. Both T and DHT bind to and...

Indications For Open Prostatectomy

There are a number of factors that should prompt the serious consideration of suprapubic transvesical prostatectomy. These include the following 1 adenomas gt 75 g 2 transition zone hyperplasia associated with a large, prominent subtrigonal component 3 presence of a physiologically relevant diverticulum 4 multiple large bladder calculi 5 confounding orthopedic problems such as severe spinal stenosis and fusion ankylosis of the hip joints 6 large scrotal hernia or massive hydrocele 7 rigid or...

Benign Prostatic Hyperplasia

Prevalence Bph Increases With Age

Urinary obstruction resulting from benign prostatic disease was described in the earliest days of medicine. Initially formalized by Riolan in the 17th century, the relationship between BPH and urinary obstruction was further elucidated by Morgani in the mid-18th century he provided one of the earliest descriptions of BPH and its sequelae 23 . More specific recognition of the pathologic process has been credited to Virchow in the last quarter of the 19th century. Despite a greater understanding...