Urology>>>>>Benign Prostatic Hyperplasia (BPH) and Lower Urinary Tract Symptoms (LUTS)
Question 5#

The following therapies for BPH are NOT recommended by NICE (CG97).

a. Alpha-blockers in combination with 5 alpha reductase inhibitors
b. Millin’s prostatectomy
c. Bipolar TURP
d. Transurethral vaporisation of the prostate
e. Holmium laser ablation of the prostate

Correct Answer is E

Comment:

Answer E

The NICE LUTS guidance (May 2010) recommended that if offering surgery for managing voiding LUTS presumed secondary to BPE, do not offer minimally invasive treatments (including transurethral needle ablation [TUNA], transurethral microwave thermotherapy [TUMT], highintensity focused ultrasound [HIFU], transurethral ethanol ablation of the prostate [TEAP] and laser coagulation) as an alternative to TURP, TUVP or HoLEP (Jones et al., 2010).