[THE SURGICAL TREATMENT OF BENIGN HYPERPLASIA OF THE PROSTATE - REVIEW, INNOVATIONS AND TRENDS].

Abstract

Introduction: Benign prostatic hyperplasia (BPH) is very common among men over 50 years of age. Most people suffering from BPH present symptoms of lower urinary tract (LUTS) of varying degrees of severity. The surgical treatment is an important and central step in the treatment of lower urinary tract symptoms caused by benign enlargement of the prostate. For many years, the most common surgical intervention for prostate up to 80 cc was transurethral resection of the prostate (TURP) and above this volume it was accepted to perform an open prostatectomy - RPP (Radical Perineal Prostatectomy) /SPP (Suprapubic Prostatectomy). In recent years, several minimally invasive methods have been developed to treat BPH. When choosing the appropriate treatment, several factors must be taken into account, including the prostate volume, the patient's medical condition, sexual function, the experience of the surgeon, and more. In this review, we examined five minimally invasive surgical approaches that have developed in recent years, while emphasizing the unique advantages and disadvantages of each approach, and highlighting the important tools in the hands of the treating urologist, alongside the traditional surgeries. This review is intended to give a broader armamentarium and a more accurate and personalized treatment for each patient. The variety of methods is suitable for the era of personalized medicine and allows the urologist to tailor treatment individually to each patient.