1,721,410 research outputs found

    BPH treatment: A paradigm shift

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    High energy thermotherapy in the treatment of benign prostatic hyperplasia: results of the European Benign Prostatic Hyperplasia Study Group.

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    Purpose: We documented the results of high energy transurethral microwave thermotherapy in the treatment of benign prostatic hyperplasia. Materials and Methods: We evaluated 116 patients following transurethral microwave thermotherapy according to symptom scores, transrectal ultrasound, free voiding and pressure-flow study parameters. Results: Significant improvement was noted in all objective and subjective parameters. Moreover, cavities in the prostatic urethra were observed in almost 40 percent of the patients. Conclusions: High energy transurethral microwave thermotherapy is an effective therapy for benign prostatic hyperplasia. Patients with larger prostates and moderate to severe bladder outlet obstruction seem to be the best candidates for this higher energy thermotherapy protocol, although morbidity is increased

    Testosterone and prostate cancer

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    Defining overactive bladder: Epidemiology and burden of disease

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    Overactive bladder (OAB) is a common, disabling condition associated with considerable negative impact on quality of life, quality of sleep, and mental health. The age-specific prevalence of OAB is similar among men and women. Urge incontinence affects only a portion of the OAB population: 33% of patients have OAB with urge incontinence ("OAB wet"), while 66% have OAB without urge incontinence ("OAB dry"). The symptoms of OAB can affect social, psychological, occupational, domestic, physical, and sexual aspects of life. OAB can also lead to depression and low self-esteem. The shift away from urodynamic observation (essential in the identification of OAB) reflects increased emphasis on the symptom-specific nature of this common disorder. The overall costs of OAB to society are in the billions. Yet the condition often goes unrecognized, largely because of the reluctance of those with OAB to seek medical attention. (C) 2004 Elsevier Inc

    The use of voiding studies (flowmetry and urodynamics) in the assessment and follow-up of patients.

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    The role of urinary flow measurement and pressure-flow studies in the diagnostic work-up of men presenting with lower urinary tract symptoms suggestive of benign prostatic obstruction is still an unresolved issue. In this paper, evidence from the peer-reviewed literature of the last 12 months is critically reviewed in the light of the recent recommendations of the 4th International Consultation on benign prostatic hyperplasia
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