Abstract
An emergence of interest in medical and surgical alternatives to the classic transurethral prostatectomy has occurred in the last decade. These treatments are aimed at the static and dynamic components of infravesical obstruction (Caine 1986). Transurethral prostatic resection eliminates static obstructing tissue and is a reliable and effective operation in most patients, especially those with larger glands. In men with minimal prostate enlargement or “primary bladder neck hyperplasia,” the dynamic neurologically mediated component is prominent, and these individuals may respond well to alternative therapies. One specific type of medical therapy involves α-adrenergic blocking agents. This chapter reviews the current status of another alternative, balloon dilatation of the prostate, which affects both the static and dynamic obstructive factors.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Aalkjaer V (1965) Transurethral resection/prostatectomy versus dilatation treatment in hypertrophy of the prostate. Urol Int 20:17–22
Backman K-A (1963) Dilatation of the prostate according to Deisting. Acta Chir Scand 126:266–274
Burhenne HJ, Chisholm RJ, Quenville NF (1984) Prostatic hyperplasia: radiological intervention. Radiology 152:655–657
Caine M (1986) The present role of alpha-adrenergic blockers in the treatment of benign prostatic hypertrophy. J Urol 136:1–4
Castaneda F, Reddy PK, Wasserman N et al. (1987) Benign prostatic hypertrophy: retrograde transurethral dilation of the prostatic urethra in humans. Radiology 163:649
Daughtry JD, Rodan BA, Bean WJ (1990) Balloon dilation of prostatic urethra. Urology 36:203–209
Deisting, W (1956) Transurethral dilatation of the prostate: a new method in the treatment of prostatic hypertrophy. Urol Int 2: 158–171
Goldenberg SL, Perez-Marerro RA (1992) Mechanism of prostatic balloon dilatation In: Castaneda F (ed) Therapeutic alternatives in the management of benign prostatic hyperplasia (Thieme Medical Publishers New York, 1992. pp. 77–82
Goldenberg SL, Perez-Marerro RA, Lee LM, Emerson L (1990) Endoscopic balloon dilatation of the prostate: early experience. J Urol 144:83–88
Hollingsworth E (1910) Dilatation of the prostatic urethra for the relief of symptoms of prostatic enlargement. Ann Surg 51:597–599
Klein LA, Leeming B (1988) Balloon dilatation for prostatic obstruction: long term follow-up. Presented at the 83rd annual meeting of the AUA, Boston, abstract 444
Kreder KJ, Donatucci CF, Crawford ED, Donohue RE, Whitesel J, Yakely R, Berger N (1991) Balloon dilation of the prostate versus transurethral resection: a continuing prospective, randomized clinical trial. Annual meeting of the AUA, Washington DC
Lepor H (1989) Nonoperative management of benign prostatic hyperplasia. J Urol 141:1283–1289
Marks LS (1992) Value of balloon dilation in treatment of youthful patients with prostatism. Urology 39:31–38
Moseley WG (1992) Balloon dilatation of prostate: keys to sustained favorable results. Urology 39:314–318
Quinn SF, Dryer R, Smathers R, Glass T, Wright E, Roberts C, Burke J, Argenbright J (1985) Balloon dilatation of the prostatic urethra. Radiology 157:57–58
Reddy PK, Wasserman N, Castaneda F, Castaneda-Zuniga WR (1987) Transurethral balloon dilatation of the prostate for prostatism: preliminary report of nonsurgical technique. J Endourol 1:269–273
Reddy PK, Wasserman N, Castaneda F, Castaneda-Zuniga WR (1988) Balloon dilatation of the prostate for treatment of benign hyperplasia. Urol Clin North Am 15:529–535
Reddy PK, Wasserman NF, Berg PA, Zhang G, Kapoor DA (1991) Patient selection predicts outcome following balloon dilation of the prostate. Annual meeting of the American Urological Association, Toronto, abstract #597
Sandberg I, Sandstrom B (1967) Dilatation according to Deisting for prostatic hyperplasia. Scand J Urol Nephrol 1:225–226
Wasserman NF, Reddy PK, Zhang G, Berg PA (1990) Experimental treatment of benign prostatic hyperplasia with transurethral balloon dilation of the prostate: preliminary study in 73 humans. Radiology 177: 485–494
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Goldenberg, S.L. (1993). Balloon Dilatation of the Prostate. In: Romas, N.A., Vaughan, E.D. (eds) Alternate Methods in the Treatment of Benign Prostatic Hyperplasia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45723-4_7
Download citation
DOI: https://doi.org/10.1007/978-3-642-45723-4_7
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-45725-8
Online ISBN: 978-3-642-45723-4
eBook Packages: Springer Book Archive