By H. A. Guess (auth.), Nicholas A. Romas M.D., E. Darracott Vaughan M.D. (eds.)
For decades, sufferers who complained of prostatism had just a couple of therapy offerings. The sufferer used to be both a candidate for an non-obligatory prostatectomy, or the operation was once deferred till the sufferer grew to become extra symptomatic. the current textual content summarizes the a number of thoughts that have develop into on hand to the working towards urologist. Minimally invasive ideas akin to transurethral incision of the prostate, balloon dilatation, hyperthermia, laser treatment, and prostatic stents are defined. clinical remedy with alpha-blockers, five alpha-reductase inhibitors, and flutamide are addressed by means of authors who've had huge scientific event with using those agents.
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Extra resources for Alternate Methods in the Treatment of Benign Prostatic Hyperplasia
The explicit approach holds that such descriptions are essential to accurate assessment of a practice policy and the intelligent use of this policy. The explicit approach is much more time-consuming, expensive, and complicated. It was adopted by the American Urological Association (AUA), in 1990, as they began to develop urologic care practice policies including the management of benign prostatic hypertrophy (BPH). K. Mebust SUruECTIVE JUDGEMENTS EMPIRICAL EVIDENCE - - PREFERENCES OBJECTIVES COMPARE BENEFITS AND HARMS COMPARE HEALTH OUTCOMES AND COSTS SET PRIORITIES j j ANALYZE EVIDENCE ESTIMATES OF OUTCOMES I I PREFERENCES NET BENEFIT COSTS I-- I-- DESIGN POLICY NET VALUE LIMITS ON RESOURCES Fig.
Conversely, Birkoff et al. (1976), in following 26 patients for 3 years, found 50%-70% deterioration in patient subjective symptoms and 71 % deterioration in objective criteria. Acute urinary retention was unpredictable. , acute retention, significant residual urine, hematuria, recurrent infections, azotemia, and bladder stones). In the AUA Cooperative Study (Mebust et al. 1989), 27% patients had acute urinary retention as the primary indication for surgery. , symptoms of bladder outlet obstruction and bladder hyperreflexia) subsequently will develop acute urinary retention.
In: Grayhack IT, Howards SS, Duckett JW (eds) Gillenwater lY, Adult and pediatric urology, 2nd edn. Mosby Year Book, St Louis, pp 1211-1276 Grayhack IT, Kropp KA (1965) Changes with aging in prostatic fluid: Citric acid, acid phosphatase and lactic dehydrogenase concentration in man. 1 Urol 93:258-262 Hinman F (1947) The obstructive prostate. lAMA 135:136-141 Hofer DR, Sherwood ER, Bromberg WD, Mendelsohn 1, Lee C, Kozlowski 1M (1991) Autonomous growth of androgen-independent human prostatic carcinoma cells: role of transfonning growth factor alpha.
Alternate Methods in the Treatment of Benign Prostatic Hyperplasia by H. A. Guess (auth.), Nicholas A. Romas M.D., E. Darracott Vaughan M.D. (eds.)