scholarly journals Transurethral Resection of Prostate (TURP): Surgery without Using a 3-Way Catheter

2018 ◽  
Vol 1 (2) ◽  
pp. e3-e9
Author(s):  
Adam Jones ◽  
Syed Ali Ehsanullah ◽  
Amerdip Birring ◽  
Connor Gascoigne ◽  
Sid Singh ◽  
...  
Keyword(s):  
Transurethral Resection ◽  
Published Data ◽  
Transurethral Resection Of Prostate ◽  
Transfusion Rate ◽  
Bladder Irrigation ◽  
Clot Retention ◽  
Unique Experience ◽  
Selection For ◽  
The Cost ◽  
Level Hospital

  Transurethral resection of the prostate (TURP) continues to be an effective intervention for certain indications; and this procedure is still one of the most commonly performed in urology. The use of a 3-way catheter with continuous bladder irrigation (CBI) post-TURP is widely practiced in a bid to prevent clot retention. We report our unique experience with the use of 2-way urethral catheters post-TURP surgery.   Methodology Data was prospectively collected for 143 consecutive patients who underwent a bipolar TURP between July 2015 and October 2017. The following outcomes where measured and compared against the literature: resection time, resected weight, haemoglobin level, hospital stay, catheterization days, transfusion rate and complications. Results Two-way 18-French catheters were used in 132/143 (91.7%) patients. The remaining 11/143 (8.3%) patients had a 3-way 22-French catheter and CBI immediately post-TURP. There were no incidences of clot retention requiring a return to theatre. There were 2/132 (1.5%) patients requiring transfusion who received 2-way catheterization. The average resection time was 44.8 (10-100) minutes, with a mean resected weight of 22.8 (2.0-70.0) grams. Post-operatively, we found minimal drop in haemoglobin levels, with a fall of 0.7 g/dL on average, with a range of 0.1-3.4 g/dL. Mean length of stay following TURP was 1.45 days (1-18), and 101/132 (76.5%) of patients had a successful trial without catheter on the first post-operative day. Conclusion Our outcomes compare favorably with the published data. This study suggests it may be possible to reduce the cost and resources associated with the use of 3-way catheters and CBI post-TURP surgery by using a 2-way catheter instead. Despite this, appropriate patient selection for this novel technique needs to be adopted. Our results would suggest that patients with smaller prostates or limited resections might be suitable for a 2-way urethral catheter post-TURP.

scholarly journals Transurethral resection of prostate – a five year experience in College of Medical Sciences and Teaching Hospital,Bharatpur, Nepal

2013 ◽  
Vol 8 (4) ◽  
pp. 16-21
Author(s):  
A Agarwal ◽  
G Sigdel ◽  
N Lamichhane ◽  
WK Belokar
Keyword(s):  
Transurethral Resection ◽  
Operating Time ◽  
Total Duration ◽  
Transurethral Resection Of Prostate ◽  
Complication Rates ◽  
Medical Sciences ◽  
Duration Of Symptoms ◽  
Fluid Extravasation ◽  
Bladder Irrigation ◽  
Clot Retention

Aims Transurethral resection of prostate(TURP) is still considered gold standard for the management of benign prostatic hyperplasia(BPH) and it has become the need of every urology center today. The purpose of this study is to report a five years experience and results in the management of BPH by TURP. Materials and methods Retrospective analysis of 330 cases of TURP done by single surgeon between January 2007 and December 2011 in urology unit, College of Medical Sciences, Bharatpur, Nepal was carried out. Results Mean age and duration of symptoms was 64.88±3.904 years and 30.7 months respectively , mean size of prostate was 48.33±15.214 grams, mean IPSS before surgery was 27.88±3.493 and after 1 year follow up of 262 cases it was 9.71±3.820. . Mean duration of post operative per urethral catheterization, bladder irrigation with normal saline and total duration of hospital stay was 2.82±0.622, 28.16± 8.895and 3.82±0.622 days respectively. Mean operating time was 40.53±12.949 minutes. 7(2.12%) patients developed intraperitoneal fluid extravasation, 8(2.42%) cases developed clot retention. 2(0.67%) cases re-admitted one week after discharge with clot retention and UTI. 3(0.9%)cases presented two years after surgery with bladder neck contracture. No case of TUR syndrome was seen and there was no mortality. Conclusion Most of the patients presents late with marked obstructive symptoms and large prostate glands in this part of Nepal. The urinary symptoms in patients with BPH significantly improved after TURP and those patients having severe symptoms gained the most. The complication rates following TURP decreases as experience grow and after a experience of 50 TURP they are almost none. So 50 TURP can be set as benchmark for the beginners. It was also noticed that resection volume of the prostate increased and the resection time decreased significantly after 50 case of TURP. Journal of College of Medical Sciences-Nepal, 2012, Vol-8, No-4, 16-21 DOI: http://dx.doi.org/10.3126/jcmsn.v8i4.8695

Comparison of epsilon aminocaproic acid and normal saline for postoperative bladder irrigation following transurethral resection of prostate

Urology ◽  
1985 ◽  
Vol 26 (3) ◽  
pp. 227-228 ◽  
Author(s):  
Robert C. Flanigan ◽  
Anthony J. Casale ◽  
Karen M. Butler ◽  
David C. Allen ◽  
Welton O'Neal ◽  
...  
Keyword(s):  
Transurethral Resection ◽  
Normal Saline ◽  
Aminocaproic Acid ◽  
Transurethral Resection Of Prostate ◽  
Bladder Irrigation ◽  
Epsilon Aminocaproic Acid

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 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.

Dietary Selection against Cottonseed Meal by Captive Northern Bobwhites

2018 ◽  
Vol 11 (3) ◽  
pp. 191-195 ◽  
Author(s):  
Amy L. Farthing ◽  
Thomas W. Schwertner ◽  
Heather A. Mathewson ◽  
Kimberly A. Guay
Keyword(s):  
Cottonseed Meal ◽  
Cultural Value ◽  
Feed Consumption ◽  
Published Data ◽  
Northern Bobwhites ◽  
Dietary Preference ◽  
Game Bird ◽  
Selection For ◽  
Whole Cottonseed ◽  
Preference Study

Gossypol, a secondary plant compound found in cotton (Gossypium spp.), is known to be toxic to a variety of animals, particularly monogastric mammals and birds. Because ruminants are resistant to gossypol, whole cottonseed and cottonseed meal have been used as a feed supplement for many decades. Concerns over gossypol toxicity arise because of its presence in cottonseed products, particularly livestock and wildlife feed. The concentration of cottonseed in the environment near livestock and wildlife feeding stations presents the possibility that it may be ingested in significant amounts by non-target wild animals, resulting in inadvertent gossypol dosing. A species of significant economic and cultural value is the Northern Bobwhite (Colinus virginianus). However, there are no published data regarding if Northern Bobwhites would consume cottonseed meal given the opportunity. We assessed selection for or against cottonseed meal by performing a dietary preference study. Birds (n =120) were given the choice between commercial game bird feed, scratch grains, and cottonseed meal containing 0.74% total gossypol. We measured feed consumption for five days. The birds’ diet consisted of 51.74% game bird feed, 37.72% scratch grains, and 10.54% cottonseed meal, and percentages varied significantly among all feed types (P≤0.001, n =360). We concluded that Northern Bobwhites selected against the cottonseed meal in favour of the game bird feed first and the scratch grains second. Our results suggest that given the choice, Northern Bobwhites will select against cottonseed meal if other feed choices are available.

Sign in / Sign up

Export Citation Format

Share Document