Transurethral resection of the prostate--"now and then".

نویسندگان

  • C Dowling
  • D Moran
  • A Walsh
  • M Alsinnawi
  • R Flynn
  • T E D McDermott
  • R Grainger
  • J A Thornhill
چکیده

The number of transurethral resections of the prostate (TURP) performed each year is decreasing. The aim of this study was to assess a cohort of patients undergoing TURP and compare this to one twenty years earlier in terms of procedure, complications and outcomes. A retrospective comparative analysis of one hundred consecutive TURPs performed in 2010 was compared to one hundred cases performed in 1990. Fifty-five (55%) had a urinary catheter (UC) in situ pre-operatively in 2010 compared to 22 (22%) in 1990. The length of catheterisation time was significantly longer in 2010 compared with 1990 (average 65 days vs 20 days). Infective complications occurred in six (6%) patients in 2010 and three (3%) in the 1990 cohort. Patients who had UCs in situ preoperatively for longer periods had a higher rate of infective complications and more serious complications. This highlights the importance of early specialist referral for patients diaqnosed with urinary retention.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

EXPERIENCE WITH BLADDER NECK INCISION TO RELIEVE BLADDER OUTLET OBSTRUCTION VERSUS TRANSURETHRAL RESECTION OF THE PROSTATE IN SHIRAZ

TUR is cited as the treatment of choice for relief of bladder outflow tract obstruction in the male, but bladder neck incision (BNI) is an acceptable alternative when the gland is smalI.1,2,3 Sixty cases of BNIfTUR have been reviewed (BNI=35, TUR=25) from March, 1986 to April, 1988. BNI was done when the glands were less than 30 gr , and when there was no clinical suspicion of malignancy t...

متن کامل

Blood transfusion rate in patients undergoing prostate surgery

Background: Benign prostatic hyperplasia is defined as enlargement of the prostate gland in the presence of symptoms of urinary without evidence of malignancy. For patients who have failed medical management as first line of therapy, surgical intervention will be done as the treatment. Hemorrhage is one of the most dreadful and serious complications of Prostate surgery. Bleeding can often be si...

متن کامل

Successful Treatment of Obstructive Oligospermia/Azoospermia Due to Mullerian Duct Cyst by Transurethral Resection:A Case Report

a:1:{i:0;s:867:"Cystic lesions in midline of prostate are uncommon and considered as congenital disorders. Here we report a 33- year- old male who presented with either azoospermia or decreased ejaculate volume leading to infertility and for whom performing Transrectal ultrasonography had a critical role in diagnosis. The obtained images revealed a congenital cyst of the prostate gland just in ...

متن کامل

Comparing Sexual Dysfunction Following Open Prostatectomy and Transurethral Resection of the Prostate

Background and purpose: Enlarged prostate places pressure on the urethra and causes urinary problems, the treatment of which is medication and surgery. The effect of transurethral resection of the prostate (TURP) on sexual function is still controversial in patients with benign prostate enlargement. This study aimed at comparing sexual function in patients with open prostatectomy and TURP befor...

متن کامل

Effect of Adding Fentanyl to Bupivacaine on Patients Undergoing Transurethral Resection of the Prostate with Spinal Anesthesia: A Clinical trial

Background and purpose: Spinal anesthesia is commonly used in transurethral resection of the prostate (TURP). To reduce the complications of spinal anesthesia, opioids could be helpful in decreasing the amount of anesthetic drug. The aim of this study was to evaluate the effect of low doses of bupivacaine and fentanyl on the levels of sensory block and motor block. Materials and methods: A cli...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Irish medical journal

دوره 108 5  شماره 

صفحات  -

تاریخ انتشار 2015