ASSESSMENT OF VOIDING FUNCTION BY ENDOSCOPIC IMAGING — A PRELIMINARY REPORT

2009 ◽  
Vol 09 (04) ◽  
pp. 609-620 ◽  
Author(s):  
TATSUO IGARASHI ◽  
SATOKI ZENBUTSU ◽  
YUKIO NAYA ◽  
TAKURO ISHII ◽  
WEN-WEI YU ◽  
...  
Keyword(s):  
Transurethral Resection ◽  
Voiding Dysfunction ◽  
Water Pressure ◽  
3D Structure ◽  
Video Image ◽  
Prostatic Urethra ◽  
Transurethral Resection Of Prostate ◽  
Video Images ◽  
Voiding Symptoms ◽  
Endoscopic Video

We report a novel method of reconstructing the 3D structure of the prostatic urethra and measuring its elasticity using endoscopic video images, and discuss their relation to clinical relevancy. Information regarding pixel color and brightness in the endoscopic video image is converted to relative distance between the object and the light source. An opened, 3D image of the prostatic urethra is obtained from a video image captured by the endoscope as it is slowly pulled through the urethra. The elasticity of the urethra is determined by recording a video image of the endoscope fixed in the prostatic urethra, with and without irrigation under water pressure of approximately 80 cm H 2 O . Angulation of the prostatic urethra is estimated by the number of intersections between the outline of protruded prostate and the midline of the urethra in patients with severe voiding dysfunction scheduled for transurethral resection of prostate, and in those scheduled for transurethral resection of bladder tumor without apparent discomfort during urination. The number of intersections showed a relationship with voiding symptoms. In conclusion, reconstruction of the 3D structure of the prostatic urethra from endoscopic video images is a feasible method that shows promise for estimating the mechanism of voiding dysfunction.

scholarly journals Outcome of 500 cases of transurethral resection of Prostate (TURP) in District level teaching Hospital

2013 ◽  
Vol 12 (2) ◽  
pp. 186-191
Author(s):  
Md. Zohirul Islam Miah ◽  
Zahid Hassan Bhuiyan
Keyword(s):  
Transurethral Resection ◽  
Selection Criteria ◽  
Medical Science ◽  
Invasive Procedure ◽  
Late Complications ◽  
District Level ◽  
Transurethral Resection Of Prostate ◽  
Voiding Symptoms ◽  
Stricture Urethra ◽  
A Prospective Study

Type of Study: This is a prospective study in a district level teaching from 1st march 2003 to December 2008. The sample size was n – 500. All Patients were evaluated with history, clinical examination and allied investigations. As per selection criteria we did TURP and each patient was followed up to six months. Purpose & Importance of TURP: It has been established that open prostatectomy has got higher morbidity than that of transurethral resection of prostate (TURP). The shorter hospital stay, early institution to working place, minimum blood loss, and acceptable financial involvement makes it excellent patient’s compliance. Method: The prospective studies include n – 500 cases of LUTS predominately obstructive voiding symptoms. After evaluation & fulfilling the selection criteria standard TURP were done in all cases. Result: The mean Q max improved in n – 476 cases (from 6.68 ml/ sec. to 17.47ml/second) in early post-operative period. Among others most of the cases improved within 06 months. Some of the cases (0.25%) needs secondary procedure for late complications like stricture urethra. Erectile dysfunction was not a major problem in our series. Death noticed in two cases in post operative ward due to cardiogenic shock. Conclusion: The outcome of the present study has been compared with other studies and it appears that TURP is an excellent minimally invasive procedure for the management of symptomatic BPH. Bangladesh Journal of Medical Science Vol. 12 No. 02 April’13 Page 186-191 DOI: http://dx.doi.org/10.3329/bjms.v12i2.14948

Impact Of Transurethral Resection Of Prostate On International Prostate Symptom Score And Peak Urinary Flow Rate

2020 ◽  
Vol 16 (1) ◽  
pp. 11-15
Author(s):  
Md Waliul Islam ◽  
Md Abul Hossain ◽  
Md Nurul Hooda ◽  
Kazi Rafiqul Abedin ◽  
Husne Ara
Keyword(s):  
Flow Rate ◽  
Transurethral Resection ◽  
Urine Volume ◽  
T Test ◽  
Urinary Symptoms ◽  
Urinary Flow Rate ◽  
Transurethral Resection Of Prostate ◽  
Urinary Flow ◽  
Paired Student ◽  
The Impact

Objectives: To evaluate urinary symptoms and quality of life in patient with BPH before and after TURP. To determine the impact of TURP on the urinary symptoms (IPSS) and peak urinary flow rate. Methods: This study is prospective study carried out between 2010 and 2011 in the department of Urology, National Institute of Kidney Diseases & Urology. Total 102 cases were selected purposively according to selection criteria. Each patient was observed and followed up at 8 weeks (1st visit), 16 weeks (2nd visit) 24 weeks (3rd visit) after transurethral resection of prostate (TURP). IPSS score, QOL score also recorded and uroflowmetry was done to see the peak urinary flow rate (Qmax) of urine and voiding time. USG was done to see post voidal residual urine volume and DRE also done in selected cases. Data was complied and statistical analysis were done using computer based software, Statistical Package for Social Science (SPSS), using paired ‘t’ test. A P value <0.05 was taken as significance. Results: Before TURP, IPSS range 17-25 and mean 21.61+2.43, after TURP, range 0-7 and mean 4.27+1.71). Hence a significant improvement of IPSS was found from 2 months to 6 months follow up after TURP. The change was tested using “paired student ‘t’ test”. Before TURP Qmax range 7-12.2 and mean was 9.96+1.69, which became range 18-25 and mean was 22.61+2.28 after TURP and therefore change of mean Qmax was 12.64+2.69. The change was tested using “paired student ‘t’ test”. The change was found significant (P<0.001). Conclusion: Transurethral resection of prostate resolves obstructive symptoms, rapid improvement of urinary flow rate Bangladesh Journal of Urology, Vol. 16, No. 1, Jan 2013 p.11-15

scholarly journals Prostatic Artery Embolization (PAE) and Transurethral Resection of the Prostate (TURP) have a Differential Impact on Lower Urinary Tract Symptoms (LUTS): Retrospective Analysis of the Multicentre UK-ROPE (UK Register of Prostate Embolization) Study

2021 ◽  
Author(s):  
Ganesh Vigneswaran ◽  
Drew Maclean ◽  
Mohammed Hadi ◽  
Benjamin Maher ◽  
Sachin Modi ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Transurethral Resection ◽  
Artery Embolization ◽  
Prostatic Artery Embolization ◽  
Voiding Symptoms ◽  
Significant Difference ◽  
Student’S T ◽  
The Uk ◽  
And Storage ◽  
Prostatic Artery

Abstract Purpose To compare the relative IPSS (International Prostate Symptom Score) improvement in storage and voiding symptoms between prostatic artery embolization (PAE) and transurethral resection of the prostate (TURP). Method Retrospective analysis of the UK-ROPE (UK Register of Prostate Embolization) multicentre database was conducted with inclusion of all patients with full IPSS questionnaire score data. The voiding and storage subscore improvement was compared between interventions. Student’s t-test (paired and unpaired) and ANOVA (Analysis of variance) were used to identify significant differences between the groups. Results 146 patients (121 PAE, 25 TURP) were included in the analysis. Storage symptoms were more frequently the most severe symptom (‘storage’ in 75 patients vs ‘voiding’ in 17 patients). Between groups, no significant difference was seen in raw storage subscore improvement (TURP 4.9 vs PAE 4.2; p = 0.34) or voiding subscore improvement (TURP 8.4 vs PAE 6.7; p = 0.1). ANOVA demonstrated a greater proportionate reduction (relative to total IPSS) towards voiding symptoms in the TURP group (27.3% TURP vs 9.9% PAE, p = 0.001). Conclusion Although both TURP and PAE improve voiding symptoms more than storage, a significantly larger proportion of total symptom reduction is due to voiding in the TURP cohort, with PAE providing a more balanced improvement between voiding and storage.

scholarly journals The effect of short-term use of finasteride versus cyproterone acetate on perioperative blood loss with monopolar transurethral resection of prostate

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Shabieb A. Abdelbaki ◽  
Adel Al-Falah ◽  
Mohamed Alhefnawy ◽  
Ahmed Abozeid ◽  
Abdallah Fathi
Keyword(s):  
Blood Loss ◽  
Transurethral Resection ◽  
Cyproterone Acetate ◽  
Histopathological Examination ◽  
Microvascular Density ◽  
Controlled Study ◽  
Control Group ◽  
Transurethral Resection Of Prostate ◽  
Perioperative Bleeding ◽  
And Control

Abstract Background Perioperative bleeding is the most common complication related to transurethral resection of prostate; the aim of the study was to compare the effect of pre-operative use of finasteride versus cyproterone acetate (CPA) on blood loss with monopolar TURP. Methods This prospective randomized controlled study was conducted on (60) patients with BPH underwent monopolar TURP between July 2019 and July 2020. Patients were distributed into three equal groups; CPA group: 20 patients received cyproterone acetate 50 mg tab BID for two weeks before TURP, finasteride group: 20 patients received single daily dose of finasteride 5 mg for two weeks before TURP, control group: 20 patients received no treatment before TURP, all patients underwent monopolar TURP, and then histopathological examination of the resected tissues was done with assessment of the microvascular density of the prostate. Results Our study showed that there was significant decrease in intraoperative blood loss and operative time in CPA and finasteride groups in comparison with control group (p = 0.0012) (p < 0.0001), respectively, significant decrease in post-operative Hb and HCT value in finasteride and control groups in comparison with CPA group (p < 0.01), significant increase in specimen weight in CPA group compared to other groups (p < 0.01), and there was also significant decrease in microvascular density in CPA group in comparison with other groups (p < 0.01). Conclusion Cyproterone acetate is more effective than finasteride in decreasing perioperative bleeding with TURP by decreasing microvascular density of the prostate.

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