scholarly journals Transurethral Resection (TURP) Versus Transurethral Incision (TUIP) of the Prostate for Small Sized Benign Prostatic Hyperplasia: A Prospective Randomized Study

1970 ◽  
Vol 19 (2) ◽  
pp. 50-56
Author(s):  
ABM Golam Robbani ◽  
MA Salam ◽  
AKM Anowarul Islam
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Blood Transfusion ◽  
Hospital Stay ◽  
Transurethral Resection ◽  
Randomized Study ◽  
Operating Time ◽  
Prostatic Hyperplasia ◽  
Prospective Randomized Study ◽  
Irrigation Fluid ◽  
Transurethral Incision

 In a prospective, randomized study, 80 patients with lower urinary tract symptoms (LUTS) caused by small prostate gland (estimated weight <30gm) had either transurethral resection (TURP, n=40) or transurethral incision (TUIP, n=40) of prostate. The study was conducted in the Department of Urology, BSMMU, Dhaka and Rajshahi Medical College Hospital, Rajshahi. Aims of the study were to evaluate the efficacy of TUIP as a treatment modality for small size obstructive BPH and to compare its outcome with that of TURP. A relative advantage of TUIP over conventional TURP was also observed in this study. Preoperative variables (symptom scores, PVR, uroflowmetry parameters) were well matched in between TURP and TUIP group.TURPs were done in conventional technique. For TUIP, two deep incisions were made at 5- and 7-0'clock positions of the bladder neck using Colling's knife. Operative variables (operating time, amount of irrigation fluid and blood transfusion required) were observed and recorded. Postoperative catheterization period and hospital stay (in days) were noted.All patients were followed up at 3 to 4 months postoperatively. Changes of preoperative variables following surgery were assessed. Sexual functions were also questioned and noted pre- and postoperatively.The study clearly indicated that TUIP is as effective as TURP for the treatment of small sized obstructive BPH. Alterations of sexual functions are similar in both the procedures. On the other hand, operating time, requirement of irrigation fluid and blood transfusion, postoperative catheterization period and hospital stay are significantly (P>0.001) less in TUIP group than that of TURP.In conclusion, we recommend TUIP for the treatment of LUTS caused by small size obstructing benign prostatic hyperplasia.   doi: 10.3329/taj.v19i2.3149 TAJ 2006; 19(2): 50-56

Evaluation of mid-term results of bipolar transurethral resection in the treatment of benign prostatic hyperplasia

2018 ◽  
pp. 1-9
Author(s):  
А.С. Векильян
Keyword(s):  
Surgical Treatment ◽  
Benign Prostatic Hyperplasia ◽  
Blood Loss ◽  
Endoscopic Surgery ◽  
Transurethral Resection ◽  
Operating Time ◽  
Clinical Results ◽  
Massive Bleeding ◽  
Prostatic Hyperplasia ◽  
Surgical Methods

Представлены клинические результаты хирургического лечения доброкачественной гиперплазии предстательной железы (ДГПЖ) объемом до 100 см3 методом биполярной трансуретральной резекции простаты (БТУР -74 пациента) в сравнении с открытой чреспузырной простатэктомией (ОПЭ - 96 пациентов), ранее применявшейся для подобных клинических случаев в урологической клинике "Железнодорожной больницы" г. Волгоград. При статистически равном операционном времени обоих хирургических методов для БТУР отмечено существенное снижение интраоперационной кровопотери, сроков послеоперационной катетеризации и пребывания в стационаре, минимальная частота геморрагических и инфекционно-воспалительных осложнений. Наблюдение за урологическим статусом пациентов в течение первого послеоперационного года показало одинаковую клиническую эффективность сравниваемых хирургических методов. Значительное снижение объема кровопотери в ходе операции БТУР можно считать большим достижением, поскольку улучшение видимости в зоне хирургического вмешательства позволяет оптимизировать гемостаз, предотвратить массивные кровотечения как во время, так и после операции, сократить сроки послеоперационной катетеризации мочевого пузыря, что в свою очередь, снижает частоту развития инфекционно-воспалительных осложнений. Более быстрое восстановление пациентов после эндоскопических операций имеет медико-социальное и экономическое значение, поскольку минимальное количество послеоперационных осложнений и сокращение сроков госпитализации позволяет существенно снизить затраты на лечение и быстрее нормализовать качество жизни пациентов. Полученные результаты демонстрируют перспективность внедрения биполярных методов эндоскопических операций для лечения ДГПЖ в хирургическую практику урологических стационаров в целях повышения безопасности оперативного лечения и экономии затрат на госпитализацию. The clinical results of surgical treatment of benign prostatic hyperplasia (BPH) up to 100 cm3 by bipolar transurethral resection of the prostate (BTUR - 74 patients) in comparison with open transvesical prostatectomy (OPE - 96 patients), previously used for such clinical cases in the urological clinic "Railway hospital" in Volgograd are presented. With statistically equal operating time of both surgical methods, there was a significant decrease in intraoperative blood loss, the terms of postoperative catheterization and hospital stay, the minimum frequency of hemorrhagic and infectious-inflammatory complications. Observation of the urological status of patients during the first postoperative year showed the same clinical efficacy of the compared surgical methods. A significant reduction in the volume of blood loss during the operation, can be considered a great achievement, since the improvement of visibility in the area of surgical intervention allows to optimize the hemostasis, to prevent massive bleeding during and after surgery, to reduce the duration of postoperative bladder catheterization, which, in turn, reduces the incidence of infectious-inflammatory complications. Faster recovery of patients after endoscopic surgery of medical,social and economic importance, as the minimum number of postoperative complications and reduction of hospitalization can significantly reduce the cost of treatment and quickly normalize the quality of life of patients. The results demonstrate the prospects of the introduction of bipolar methods of endoscopic surgery for the treatment of BPH in the surgical practice of urological hospitals in order to improve the safety of surgical treatment and save costs for hospitalization.

Sign in / Sign up

Export Citation Format

Share Document