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Int Neurourol J > Accepted Articles
DOI: https://doi.org/10.5213/inj.2040412.206    [Accepted]
Changes in Prevalence and Treatment Pattern of Benign Prostatic Hyperplasia in Korea
Jung Ki Jo1, Sung Ho Shinn2, Kyu Shik Kim1, Hong Sang Moon1
1Department of Urology, Hanyang University College of Medicine, Seoul, Korea
2Department of Thoracic and Cardiovascular surgery, Cheju Halla General Hospital, Jeju, Republic of Korea
Correspondence  Hong Sang Moon ,Email: moonuro@hanyang.ac.kr
Submitted: 2 November 2020;  Accepted after revision: 21 December 2020.
ABSTRACT
Purpose
Benign prostatic hyperplasia (BPH) is associated with lower urinary tract symptoms and negatively affects the quality of life. We aimed to investigate the treatment pattern of BPH in South Korea.
Methods
Information on treatment modalities and diagnoses of BPH was obtained from the Health Insurance Review and Assessment Service-Aged Patient Sample. Data on BPH patients aged >60 years from 2012 to 2016 were obtained. We surveyed the treatment pattern of BPH, including the types of drugs used and surgeries performed, according to the type of institution.
Results
In this study, 18,260–24,657 BPH patients treated between 2012 and 2016 were included. The number of patients showed an increasing pattern, and drug therapy was the major treatment method used for BPH (98.77%). Moreover, the pattern of increased pharmacotherapy use for BPH was reinforced by the increasing number of patients. Prescription of α-blockers only was dominant in this cohort (45.7%). Transurethral resection of the prostate (TURP) was the most commonly used surgical treatment for BPH (53.6%), but it showed a decreasing pattern over time. In contrast, holmium laser enucleation of the prostate (HoLEP) showed an increase from 19.4% to 39.7%.
Conclusions
The most common treatment for BPH was drug therapy, predominantly only α-blocker therapy. The surgical treatment trend has changed from TURP to HoLEP.
Keywords: Prostate; Therapeutics; Prevalence
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Official Journal of Korean Continence Society & ESSIC (International Society for the Study of BPS) & Korean Society of Urological Research & The Korean Children’s Continence and Enuresis Society & The Korean Association of Urogenital Tract Infection and Inflammation & Korean Society of Geriatric Urological Care
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