Bipolar plasmakinetic transurethral resection of the prostate vs. transurethral enucleation and resection of the prostate: pre- and postoperative comparisons of parameters used in assessing benign prostatic enlargement
ثبت نشده
چکیده
Introduction : Transurethral enucleation and resection of the prostate (TUERP) may offer a better treatment for benign prostatic enlargement. We compared the perioperative parameters and outcome following bipolar plasmakinetic transurethral resection of the prostate (TURP) and TUERP. Methods : Data from two independent institutions were reviewed retrospectively. 50 and 45 consecutive patients were enrolled in the TURP and TUERP groups, respectively. Preand postoperative parameters, including prostatic specific antigen (PSA), prostate volume (PV), International Prostate Symptom Score (IPSS), quality of life (QOL) score, uroflowmetry and prostate volume (PV), were compared. Results : Age at surgery, preoperative PSA (5.8 +/− 4.0 versus 7.6 +/− 5.9 ng/ml) and PV (55.8 +/− 31.6 versus 53.2 +/− 26.8 g) showed no significant difference (p-value greater than 0.05). However, postoperative PSA (2.8 +/− 3.0 versus 0.8 +/− 0.4 ng/ml; p-value less than 0.05) and PV (15.2 +/− 7.7 versus 10.5 +/− 5.4 g; p-value less than 0.01) differed significantly between the TURP and TUERP groups, respectively. There were no significant differences in IPSS, QOL, and Qmax between the two groups during follow-up (p-value is 0.62, 0.68 and 0.13, respectively). However, for the TUERP group, the postoperative post-void residual urine volume (PVR) was significantly better (13.8 +/− 19.5 versus 25.2 +/− 18.7 ml; p-value less than 0.01). Conclusion: The TUERP technique achieved more complete resection than TURP, with a smaller post procedure PV and lower PSA and PVR after surgery. This may predict better long-term results for patients who had TUERP.
منابع مشابه
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 کاملThe impact of surgical treatments for lower urinary tract symptoms/benign prostatic hyperplasia on male erectile function
Lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia (BPH) is common in adult men and can impair erectile function (EF). It was believed surgical treatments for this illness can improve EF due to the relief of LUTS while they were also reported harmed EF as heating or injury effect. Current network meta-analysis aimed to elucidate this discrepancy.Randomized controlled trials (RCTs)...
متن کاملComparing 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 کاملComparison of plasmakinetic transurethral resection of the prostate with monopolar transurethral resection of the prostate in terms of urethral stricture rates in patients with comorbidities
PURPOSE To compare urethral stricture rates in comorbid patients undergoing plasmakinetic transurethral resection of the prostate (PK-TURP) and monopolar transurethral resection of the prostate (M-TURP) for benign prostatic hyperplasia. METHODS The data of 317 patients with comorbidities undergoing either PK-TURP or M-TURP from September 2008 to December 2012 were retrospectively evaluated. P...
متن کاملEarly postoperative outcome of bipolar transurethral enucleation and resection of the prostate.
OBJECTIVES To report the early postoperative outcome of bipolar transurethral enucleation and resection of the prostate. Our results were compared with those published from various centres. SETTING Regional hospital, Hong Kong. PATIENTS A total of 28 consecutive patients who had undergone bipolar transurethral enucleation and resection of the prostate by a single surgeon between January and...
متن کامل