COMPARATIVE CHARACTERISTICS OF MODERN METHODS OF SURGICAL TREATMENT OF BENIGN PROSTATE HYPERPLASIA (LITERATURE REVIEW)

The article presents an overview of modern domestic and foreign literature, dedicated to the problem of surgical treatment of benign prostatic hyperplasia. There exists a wide range of approaches to surgical treatment of benign prostatic hyperplasia. A decision in favor of a certain method is individual and takes into account somatic status of the patient, peculiarities of growth of adenoma and the volume of prostate. In the article, a general tendency of using different endourologic interventions is emphasized. In case of moderate dimensions of the prostate the preferable methods are endoscopic enucleation, transurethral resection and photoselective vaporization of the prostate that are comparable in terms of functional, morphological parameters and duration of recovery period. However, application of non-invasive transurethral interventions in case of the gland volume more than 80 cm3 is limited and requires further improvement of surgical technique. Aquablation, transurethral microwave thermotherapy are promising methods requiring further independent randomized studies.