DIAGNOSIS AND THERAPY OF PROSTATE ADENOMA - RELIABLE AND NEW PROCEDURES

In diagnostics of BPH percutaneous and endoluminal sonography has near ly replaced radiodiagnostics. In the differentiation of iritative and obstructive symptoms Symptom-scores are used. Concerning therapy of BH P essential innovations have enlarged the spectrum of medicaments and operative treatment. In early stages alpha-1-blockers and 5-alpha-redu ctase-blockers are successfully used in addition to phytopharmacas. In advanced disease transurethral resection or open prostatectomy remain the goldstandard because of high effectiveness. Useful alternatives a re intraurethral implants, the TUIP, the different laser techniques an d the thermotherapy. TUNA and HlFUP seem to be successful. Because of ineffectiveness hyperthermia, ballon dilatation, robotic prostatectomy and shokwaves have been left.