scholarly journals Transvesical Prostatectomy after Transurethral Resection- Need for Retention of Skills for Open Prostatectomy: A Case Report

2021 ◽  
Vol 3 (4) ◽  
pp. 1-2
Author(s):  
Balantine U. Eze ◽  
Anthony C. Nevo ◽  
Chijioke C. Anekpo ◽  
Sunday G. Mba
Keyword(s):  
Transurethral Resection ◽  
Gold Standard ◽  
Bladder Outlet Obstruction ◽  
Acute Urinary Retention ◽  
Outlet Obstruction ◽  
Prostatic Hyperplasia ◽  
Transurethral Resection Of Prostate ◽  
Open Prostatectomy ◽  
Common Cause ◽  
Large Prostate

Benign prostatic hyperplasia is a common cause of bladder outlet obstruction BPH. Transurethral resection of prostate (TURP) remains the gold standard of surgical therapy but have limitations in handling large prostates. We report a case of a patient with a large prostate that had TURP, later developed acute urinary retention and subsequently had transvesical prostatectomy with a good outcome. There is need for retention of skills for open prostatectomy despite the crave for acquisition of endoscopic/ minimally invasive skills.

SIGNIFICANCE OF NON-INVASIVE SONO-MORPHOLOGICAL MARKERS IN THE EVALUATION OF BLADDER OUTLET OBSTRUCTION AND ACUTE URINARY RETENTION SECONDARY TO BENIGN PROSTATIC HYPERPLASIA

2021 ◽  
pp. 5-9
Author(s):  
Prasenjit Bhowmik ◽  
Soumendranath Mandal ◽  
Gaurav Sharma ◽  
Bandhan Bahal ◽  
Prashant Gupta ◽  
...  
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Diagnostic Accuracy ◽  
Urinary Retention ◽  
Bladder Outlet Obstruction ◽  
Acute Urinary Retention ◽  
Bladder Wall ◽  
Outlet Obstruction ◽  
Threshold Value ◽  
Prostatic Hyperplasia ◽  
Control Group

Objectives: To dene the diagnostic accuracy of intravesical protrusion of prostate (IPP), bladder wall thickness (BWT) and prostate volume (PV) in diagnosis of bladder outlet obstruction (BOO) and prediction of future acute urinary retention (AUR). A prospective Materials and methods: study of 127 patients, presenting with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (BPH) were enrolled with 50 patients among them manifesting AUR. 35 normal persons were selected as control group. After inclusion, all patients underwent transabdominal ultrasound and pressure ow urodynamic study (UDS). UDS parameter, BOO index (BOOI) were used as a reference standard for stratifying the patients into two groups, BOO and non-BOO. The sono-morphological parameters, IPP, BWT and PV were used to compare between these two groups with calculating the diagnostic accuracy for each individual index. IPP, BWT Results: and PV had statistically signicant difference between group 1 (BOOI < 40) and 2 ( BOOI > 40) with strong correlation with BOOI. The Pearson's correlation coefcient (r) for IPP, BWT and PV were 0.762, 0.702 and 0.660 respectively. The AUC for IPP, BWT and PV were 0.824, 0.786 and 0.650 with highest accuracy for IPP (79.2%) at cutoff value of 7 mm. Using the same threshold value, IPP had higher statistical difference than BWT in predicting AUR with similar diagnostic accuracy of IPP and BWT together. IPP and BWT in conjunction with PV in place Conclusions: of UDS had good clinical utility in diagnosis of BOO due to BPH and future AUR prediction.

scholarly journals Modified Bladder Outlet Obstruction Index for Powerful Efficacy Prediction of Transurethral Resection of Prostate with Benign Prostatic Hyperplasia

2021 ◽  
Author(s):  
Hongming Liu ◽  
Ye Tian ◽  
Guangheng Luo ◽  
Zhiyong Su ◽  
Yong Ban ◽  
...  
Keyword(s):  
Transurethral Resection ◽  
Bladder Outlet Obstruction ◽  
Outlet Obstruction ◽  
Binary Logistic Regression ◽  
Binary Logistic Regression Analysis ◽  
Transurethral Resection Of Prostate ◽  
Clinical Value ◽  
Prostate Hyperplasia ◽  
Pressure Flow Study ◽  
Baseline Factors

Abstract Background：The correlation between modified bladder outlet obstruction index (MBOOI) and surgical efficacy still remains unknown. The purpose of the study was to investigate the clinical value of the MBOOI and its use in predicting surgical efficacy in men receiving transurethral resection of the prostate (TURP).Methods ：A total of 403 patients with benign prostate hyperplasia (BPH) were included in this study. The International Prostate Symptom Score (IPSS), quality of life (QoL) index, transrectal ultrasonography, and pressure flow study (PFS) were conducted for all patients. The bladder outlet obstruction index (BOOI) (PdetQmax -2Qmax) and MBOOI (Pves-2Qmax) were calculated. All patients underwent TURP, and surgical efficacy was accessed by the improvements in IPSS, QoL, and Qmax 6 months after surgery. The association between surgical efficacy and baseline factors was statistically analyzed.Results：A comparison of effective and ineffective groups based on the overall efficacy showed that significant differences were observed in PSA, Pves, PdetQmax, Pabd, BOOI, MBOOI, TZV, TZI, IPSS-t, IPSS-v, IPSS-s, Qmax, and PVR at baseline (P<0.05). Compared with BOOI, the results of Pearson’s correlation analysis showed that there was a more optimal correlation of MBOOI with preoperative variables, as well as with the changes postoperative(P<0.05). Binary logistic regression analysis suggested that MBOOI was the only baseline parameter correlated with the improvements in IPSS, QoL, Qmax, and the overall efficacy. Additionally, the ROC analysis further verified that MBOOI was more optimal than BOOI, TZV and TZI in predicting the surgical efficacy.Conclusion：Compared to BOOI, MBOOI may be a more useful factor that can be used to predict the surgical efficacy of TURP.Trial registration: retrospectively registered.

Sign in / Sign up

Export Citation Format

Share Document