Prostate Biopsy With MR Fusion
Biopsy of the prostate gland has evolved significantly over the past 4 decades. Initially, urologists performed prostate biopsy using digital guidance alone, which obviously was suboptimal. In the late 1980s…
Cryotherapy
Cryosurgery or cryoablation is a recognized therapeutic option for prostate cancer. This chapter will deal primarily with whole gland ablation. Except for information pertaining to specific cryogenic machines or systems,…
Retropubic Prostatectomy
The retropubic prostatectomy approach uses a transverse capsular incision through the prostatic capsule, allowing better control of the prostatic vessels at the bladder neck after enucleation of the adenoma. This…
Suprapubic Prostatectomy
The indications for a suprapubic prostatectomy for benign disease are the same as for the retropubic approach, namely symptomatic bladder outlet obstruction from benign prostatic hyperplasia (BPH) or urinary retention…
Transrectal Ultrasound-Directed Prostate Biopsy
The first transrectal core needle prostate biopsy was first reported by Astraldi and colleagues in 1937. Since that time, advances in our understanding of prostatic zonal anatomy, ultrasound imaging, and…
Transperineal Prostate Biopsy
A safe and accurate biopsy technique is essential for the management of prostate cancer. Patients are selected for biopsy based on a complex algorithm of their PSA and kinetics, DRE…
Laser Treatment of Benign Prostatic Disease
Introduction Basics of Laser Therapy for Benign Prostatic Hyperplasia Laser technology was first implemented to treat benign prostatic hyperplasia (BPH) in 1986. The acronym “laser” stands for “Light Amplification by…
Anatomy and Principles of Excision of the Prostate
Surgical Approaches Radical prostatectomy remains a standard treatment option for men with localized prostate cancer. Even though this operation has developed over more than a century, it remains a challenging…
Transurethral Resection and Transurethral Incision of the Prostate
Indications Transurethral resection of the prostate (TURP) has played a storied role in American urology. Many of the same individuals who were crucial players in establishing the specialty of urology…
Female Vesical Neck Closure
Indications Female vesical neck closure is an uncommon procedure often reserved for those with severe urethral incompetence. There are a number of conditions in which vesical neck closure is indicated;…
