Faculty Opinions recommendation of Extraperitoneal laparoscopic adenomectomy (Madigan) versus bipolar transurethral resection of the prostate for benign prostatic hyperplasia greater than 80 ml: complications and functional outcomes after 3-year follow-up.

Introduction: Benign prostate hyperplasia, pathophysiology contributes to bladder outlet obstruction due to functional obstruction caused by gland size enlargement resulting in the lower urinary tract symptoms (LUTS). Objectives: To determine the correlation of the prostate volume with surgical outcomes and postoperative LUTS in patients with benign prostatic hyperplasia (BPH) undergoing transurethral resection of the prostate (TURP). Patients and Methods: Patients with BPH who were refractory for medical treatment enrolled in the study. Patients divided into three groups with attention to their prostate volume conducted by transabdominal ultrasonography. To evaluate patients’ LUTS, the International Prostate Symptom Score (IPSS) questionnaire was filled for all patients preoperatively and during the first and third months follow up sessions. Results: In the current study, mean age of the patients was 66.92 ± 1.08 years. Of 111 patients, eight patients (7.2%) had prostate volume less than 30 cc, 59 patients (53.2%) had prostate volume between 30-60 cc, and 44 patients (39.6%) had prostate volume more than 60 cc. During first month postoperative, mean decrease in IPSS scores in patients with prostate volume less than 30 cc, prostate volume between 30–60 cc and prostate volume more than 30 cc were 27.72 ± 3.53, 27.32 ± 3.37 and 27.45 ± 2.87, respectively. The ANOVA test showed no significant difference between the groups (P= 0.93). Mean decrease in IPSS score during third month postoperative, had no significant difference between the three groups, too (P=0.71). Symptoms alleviation observed in 94.6% and 95.5% of the patients, during first and third months follow-up, respectively. Conclusion: There was no correlation between the IPSS scores decrease and patients’ symptoms recovery and preoperative prostate volume in patients with BPH who underwent TRUP.

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Faculty Opinions recommendation of GreenLight HPS 120-W laser vaporization versus transurethral resection of the prostate for treatment of benign prostatic hyperplasia: a randomized clinical trial with midterm follow-up.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.3530957.3230055 ◽

2010 ◽

Author(s):

Alexander Bachmann ◽

Malte Rieken

Keyword(s):

Clinical Trial ◽

Benign Prostatic Hyperplasia ◽

Randomized Clinical Trial ◽

Transurethral Resection ◽

Prostatic Hyperplasia ◽

Laser Vaporization

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Three-year follow-up of laser prostatectomy versus transurethral resection of the prostate in men with benign prostatic hyperplasia

Urology ◽

10.1016/s0090-4295(02)01697-7 ◽

2002 ◽

Vol 60 (2) ◽

pp. 305-308 ◽

Cited By ~ 39

Author(s):

W.Bruce Shingleton ◽

Paul Farabaugh ◽

Warren May

Keyword(s):

Benign Prostatic Hyperplasia ◽

Transurethral Resection ◽

Prostatic Hyperplasia ◽

Laser Prostatectomy

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Spontaneous prostatic haematoma in a case of benign prostatic hyperplasia

BMJ Case Reports ◽

10.1136/bcr-2018-228787 ◽

2019 ◽

Vol 12 (3) ◽

pp. e228787

Author(s):

Devanshu Bansal ◽

Amlesh Seth

Keyword(s):

Benign Prostatic Hyperplasia ◽

Urinary Bladder ◽

Urinary Retention ◽

Transurethral Resection ◽

Obstructive Uropathy ◽

Prostatic Hyperplasia ◽

Urinary Flow ◽

Urethral Catheterisation ◽

Definitive Surgery

A 61-year-old man presented with urinary retention with obstructive uropathy (urea/creatinine: 126/9.2 mg/dL) secondary to a large prostatic haematoma while being medically managed for benign enlargement of the prostate. The patient did not have any fever or local symptoms and the prostate was enlarged and non-tender on examination. Ultrasound and MRI of the pelvis showed a 9.4×10.4×11.1 cm sized prostatic haematoma seen displacing and compressing the urinary bladder anteriorly with bilateral hydroureteronephrosis. The patient was managed with per-urethral catheterisation, haemodialysis and injectable antibiotics. Percutaneous pigtail placement into the prostatic haematoma led to gradual drainage of the haematoma with improvement in the renal parameters. Definitive surgery in the form of transurethral resection of the prostate was done at a later date. Intraoperatively multiple encapsulated cavities containing organised clots were deroofed. On follow-up, the patient did well and had good urinary flow and normal renal parameters.

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