scholarly journals Diagnosis of monoclonal B cell lymphocytosis (MBL) through transurethral resection of prostate for obstructive lower urinary tract symptoms

2020 ◽  
Vol 29 ◽  
pp. 101086
Author(s):  
Margaret M. Mansbridge ◽  
Jonathon R. Parker ◽  
Sewwandi Francisco ◽  
Scott T. McClintock
Keyword(s):  
Urinary Tract ◽  
B Cell ◽  
Lower Urinary Tract Symptoms ◽  
Transurethral Resection ◽  
Lower Urinary Tract ◽  
Transurethral Resection Of Prostate ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

scholarly journals Morbidity and early outcome of transurethral resection of prostate: A prospective single-institute evaluation of 100 patients

1970 ◽  
Vol 8 (2) ◽  
pp. 203-207 ◽  
Author(s):  
B Shrestha ◽  
JL Baidya
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Transurethral Resection ◽  
Lower Urinary Tract ◽  
Tertiary Care ◽  
Outlet Obstruction ◽  
Transurethral Resection Of Prostate ◽  
Urinary Tract Symptoms ◽  
Resected Tissue ◽  
Lower Urinary

Background: Transurethral resection of the prostate underwent significant technical improvements during the last decades, with major impact on the incidence of intra and postoperative complications. Objectives: The objective of the study was to analyse the early complications and to predict immediate outcomes of transurethral resection of prostate (TURP) in a single tertiary care institute. Materials and methods: We prospectively evaluated 100 patients undergoing transurethral resection of prostate at B and B Hospital, Gwarko, Lalitpur, Nepal, from August 2008 till April 2009. Case records containing 32 variables concerning preoperative status, operative details, complications and immediate outcome were recorded for each patient. Results: The cumulative short-term postoperative significant morbidity was 10% and the peroperative morbidity was 6%. The most relevant postoperative complication was failure to void (24%). Among significant postoperative morbidities, surgical revision had to be performed in two patients (2%), open prostatectomy in one patient, transurethral resection (TUR) syndrome in 5% and significant urinary tract infection in 2%. Among significant intra operative morbidity, we had one case with bladder perforation, significant cardiac arrhythmia requiring prompt attention in 4% and TUR syndrome during resection in 1%. We did not have any mortality related to the procedure during the study period. The resected tissue averaged 25.67gm. Incidental carcinoma of the prostate was diagnosed by histological examination in 4% of patients. Urine peak flow rate (Q-max) increased to 12.88ml per second from 9.24ml per second and average fl ow rate increased to 7.36 ml per second from 5.03 ml per second. The postoperative mean residual urine measured by ultrasound decreased to 28.46ml from preoperative 86.59 ml. Conclusions: TURP has, for decades, been the standard surgical therapy for lower urinary tract symptoms secondary to benign prostatic hyperplasia though significant morbidities can be associated with the procedure. Meticulous preoperative workup and proper selection of the patients for the procedure significantly improve the outcome after transurethral resection of the prostate. Key words: TURP ( Transurethral resection of prostate); LUTS ( Lower urinary tract symptoms); BOO (Bladder outlet obstruction) DOI: 10.3126/kumj.v8i2.3559 Kathmandu University Medical Journal (2010), Vol. 8, No. 2, Issue 30, 203-207

A five-year review of operative experience and indicative numbers in urological training in the UK and Ireland

2017 ◽  
Vol 10 (6) ◽  
pp. 506-512 ◽  
Author(s):  
Elaine Lee ◽  
James E Dyer ◽  
Kieran J O’Flynn ◽  
Timothy Terry ◽  
Richard Robinson
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Surgical Training ◽  
Transurethral Resection ◽  
Lower Urinary Tract ◽  
Bladder Tumour ◽  
Direct Consequence ◽  
Urinary Tract Symptoms ◽  
The Uk ◽  
Lower Urinary

Objective: The Joint Committee of Surgical Training guidelines for the award of a Certificate of Completion of Training in urology were updated in 2015. In 2015, we published operative logbook data from Certificate of Completion of Training in urology applications in 2010–2012 in line with the original 2011 guidelines. This study reviewed a contemporary cohort against the 2015 guidelines and this previous cohort to evaluate whether the number of trainees achieving these requirements had changed. Materials and methods: All Certificate of Completion of Training in Urology application logbooks from March 2014–October 2015 (77 in total, 2015 cohort) were reviewed and compared to 154 logbooks in 2010–2012 (2012 cohort). Results: There was a significant increase ( p<0.05) in the percentage of trainees achieving indicative exposure in 10 domains in the 2015 cohort according to the updated guidelines. Percentage increases included male lower urinary tract symptoms procedures from 68.2% to 88.3%, transurethral resection of bladder tumour from 64.3% to 89.6%, paediatric urology from 1.9% to 23.4%, female incontinence from 9.7% to 33.8% and andrology from 9.1% to 42.9%. There were significant reductions ( p<0.01) in mean operative numbers for transurethral resection of bladder tumour and male lower urinary tract symptoms procedures from 184 to 162 and 187 to 161, respectively. One trainee in the 2015 cohort achieved requirements in all 17 domains and 55% failed to meet the requirement in ⩾5 domains. Conclusions: While an increasing number of trainees currently meet Joint Committee of Surgical Training expectations, some domains remain at low levels. Despite this, no trainee to date has not been awarded a Certificate of Completion of Training as a direct consequence of this, but this could become a possibility in the near future, and it is the responsibility of Local Education Training Boards and trainees to ensure that indicative numbers are both achievable and achieved.

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