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State of the Art - BPO surgery: When, how, how much?

Wednesday 07 Jun 2017 {{NI.ViewCount}} Views {{NI.ViewCount}} Views

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08:45 - 09:15

The third state of the art session at ICS 2017 will be ‘BPO surgery: When, how, how much?’ presented by Andrea Tubaro (Professor of Urology, Sapienza University of Rome, Italy).

This session focuses on the surgical management of BPH. This reflects the diversity of our society with early and late adoption from both patients and surgeons.

The scarce body of evidence available in this area only allows to manage the extremes. Patients with mild symptoms rarely benefit from intervention while patients with a constrictive type of obstruction can easily lead to bladder decompensation; from a teleological standpoint, acute urinary retention can be considered protective of detrusor function.

Different approaches can be used to relieve obstruction and patients sometimes report misleading communication from health care providers. Provided the one-size-fits-all approach is wrong, we need different techniques to cope with different prostate sizes and diverse patient comorbidities, mastering most of the available techniques is required for a free choice and an informed consent. “More is better” probably holds true for durability in this type of surgery although no one evidence is available and the priority remains to choose the surgical technique for the individual patient and shape it according to his needs. The learning curve for BPH surgery was known to be long and no shortcuts have been created yet.

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BPO surgery: When, how, how much?

ICS 2017

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