Therapeutic Advances
Copyright ©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Clin Urol. Mar 24, 2013; 2(1): 1-2
Published online Mar 24, 2013. doi: 10.5410/wjcu.v2.i1.1
Is verumontanum resection needed in transurethral resection of the prostate?
Evangelos M Mazaris
Evangelos M Mazaris, Urology Department, Imperial College NHS Trust, St. Mary’s Hospital, Praed Street, W2 1NY London, United Kingdom
Author contributions: Mazaris EM wrote and revised the manuscript.
Correspondence to: Dr. Evangelos M Mazaris, Urology Department, Imperial College NHS Trust, St. Mary’s Hospital, Praed Street, W2 1NY London, United Kingdom. evmazaris@yahoo.gr
Telephone: +44-203-3121006 Fax: +44-203-3121546
Received: January 24, 2013
Revised: February 7, 2013
Accepted: March 6, 2013
Published online: March 24, 2013
Abstract

Transurethral resection of the prostate is the mainstay for treatment of bladder outflow obstruction. It is a procedure that involves various complications and has a high success rate. In view of a recent publication presenting the effect of verumontanum resection on functional outcome and possible complications after TURP, the present manuscript presents the available evidence on the subject as well as the possible criticism about the technique suggested by the authors. The results available do not confirm that by resecting the verumontanum there is a clinically significant improvement in the functional outcome, however confirm that continence is not affected. The criticism probably lies in the fact that resecting such a small amount of tissue like the verumontanum (its size probably remains the same with few changes during lifetime) probably does not affect outcome, yet the resection of hyperplastic apical tissue around it may play a role in functional improvement.

Keywords: Transurethral resection, Prostate, Apical tissue, Verumontanum, Sphincter