Copyright
©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Urol. Nov 24, 2014; 3(3): 370-375
Published online Nov 24, 2014. doi: 10.5410/wjcu.v3.i3.370
Published online Nov 24, 2014. doi: 10.5410/wjcu.v3.i3.370
Best surgical treatment for very large benign prostatic obstruction
Iván D Sáez, Juan F de la Llera, Cristopher D Horn, José F López, Rodrigo A Chacón, Pedro A Figueroa, Bruno I Vivaldi, Fernando Coz, Department of Urology, Military Hospital, Facultad de Medicina, Universidad de los Andes, Santiago 7850000, Chile
Author contributions: Sáez ID contributed in the literature search, revision, analysis and writing of the manuscript; de la Llera JF contributed in the revision of literature and writing of the manuscript; Horn CD and López JF contributed in the revision of the literature; Chacón RA, Figueroa PA and Vivaldi BI contributed in the revision of the manuscript; Coz F contributed as head author.
Correspondence to: Fernando Coz, MD, Professor, Chairman, Department of Urology, Military Hospital, Facultad de Medicina, Universidad de los Andes, Avenida Larraín 9100, Metropolitan Region, Santiago 7850000, Chile. dr.fcoz@gmail.com
Telephone: +56-2-23316982 Fax: +56-2-23317168
Received: April 28, 2014
Revised: June 27, 2014
Accepted: July 25, 2014
Published online: November 24, 2014
Revised: June 27, 2014
Accepted: July 25, 2014
Published online: November 24, 2014
Core Tip
Core tip: Though the gold standard for surgical treatment of very large benign prostatic obstruction has been open prostatectomy, in the last three decades there has been a notorious absence of publications showing the outcomes of this surgery. The only procedure with similar results and fewer complications seems to be the holmium laser enucleation of the prostate making it an interesting alternative when confronted with large sized prostates. New methods of treating large prostates have an interesting challenge since both open surgery and holmium laser enucleation of the prostate present favorable results.