Category: BPH/LUTS: Electrosurgery, Lasers & Other Technology

MP6-8 - The rise and fall of different surgical interventions for BPH: Critical review of worldwide publication trends over the past 20 years

Fri, Sep 21
10:00 AM - 12:00 PM

Introduction & Objective : There has been a revolution in the advancements in surgical options for the management of BPH. Of particular importance, is the emergence of novel minimally invasive strategies. This review serves to analyse publication trends for such interventions to observe practice patterns worldwide. 

Methods : A systematic search was performed to retrieve all studies related to BPH surgery, which have been published since 1997.
To observe changes in trends more effectively, data was sub-divided into 2 time periods, 1997 to 2006 (Group 1) and 2007 to 2016 (Group 2).

Results : Over the past 2 decades, 2177 articles have been published on surgeries for BPH. Between the two time periods there was a rise of +18.8% (p=0.108) for monopolar TURP and +497.1% (p<0.001) for bipolar TURP. Overall, there was over 290% rise in publications related to BPH laser surgery (p<0.001) and this included +245.9% (p<0.001) for HoLEP, +702.4% (p<0.001) for Greenlight. However, there was a significant drop of -54.5% (p<0.001) for prostatic stents, -81.9% (p<0.001) for TUMT, -63.6% (0.004) for TUNA and -80.3% (p=0.002) for Nd:YAG laser. 

Conclusions : Surgical treatments for BPH have undergone a high volume of research. In particular, Bipolar TURP and Greenlight laser have gained the hghest attention. Stents, TUMT and TUNA are no longer areas of high interest, likely reflecting the current therapeutic patterns in the clinical setting.

Patrick Jones

University Hospital Southampton
Southampton, England, United Kingdom

Amelia Pietropaolo

Urology senior fellow
University Hospital Southampton
Southampton, England, United Kingdom

Robert Geraghty

University Hospital Southampton
Southampton, England, United Kingdom

Bhavan Prasad Rai

James Cook University Hospital, Middlesbrough, UK
Middlesbrough, England, United Kingdom

Laurian B. Dragos

Consultant Urologist
University of Medicine and Pharmacy Victor Babes, Timisoara, Romania
Timisoara, Timis, Romania

Domenico Veneziano

Department of Urology, Tenon Hospital, Paris, France.
Paris, Ile-de-France, France

Bhaskar K. Somani

Consultant Urologist, Associate Professor
University Hospital Southampton , U.K
Southampton, England, United Kingdom

Bhaskar is an Endourologist and Associate Professor in Southampton, and is an active member of European School of Urology 'Training and Research group' and ESUT Endourology group. He has been teaching on EUREP hands-on-training for the last 5 years and is the senior author in the new ‘Endoscopic stone treatment (EST)’ curriculum established for training and examinations. He has performed live surgery in EAU with presentations and moderations in EULIS, WCE and SIU. He is also a member of EAU ‘Train the Trainer’ committee.

He is research active and has published more than 200 papers with over 300 published abstracts/presentations. He is on the editorial board of 3 journals, a reviewer for 14 journals and Investigator for 5 trials. He sits on the MCQ panel for FRCS examinations and is a ‘Specialist advisor’ to National Institute of Clinical Excellence (NICE) Interventional procedures and ‘Invited expert’ to NICE urological infections. He is an elected member of BAUS Academic section and was recently selected as a Fellow of Faculty of Surgical Trainers.