Bipolar transurethral resection of anastomotic strictures after radical prostatectomy

Journal of Endourology
Milos BrodakLukas Holub

Abstract

The efficacy of the bipolar endoscopic resection for anastomotic stricture was assessed and compared with holmium laser treatment. We studied a cohort of 39 patients with anastomotic strictures in years 1999 to 2007. Twenty-two patients had undergone bipolar resection, and 17 patients had undergone holmium laser treatment. The mean age of the bipolar cohort was 63.8 years; initial prostate-specific antigen (PSA) level was 10.7 ng/mL. The mean age of the laser cohort was 64 years; initial PSA level was 7.8 ng/mL. The results were evaluated by measurement of the maximum urinary flow (Qmax) and the postvoid residual volume of urine (PVR) before surgery, and at 6 weeks and 6 months after surgery. The Wilcoxon rank-sum test was used for statistical analysis, and a P value <0.05 was considered significant. The mean follow-up period was 42 (14-74) months. Improvements in Qmax and PVR were recorded in the two cohorts. In the bipolar cohort, the mean values of Qmax were 3.9 mL/s, 14 mL/s, and 13 ml/s, while PVR values were 46 mL, 10 mL, and 11 mL. The mean values of Qmax in the laser cohort were 3.7 mL/s, 11 mL/s and 6.1 mL/s; PVR were 25 mL, 16 mL, and 19 mL. Statistically significantly better results of Qmax over 6 months were in the ...Continue Reading

References

Jan 20, 2004·Urologia Internationalis·Athanasios KostakopoulosMichalis Melekos
May 25, 2005·Journal of Endourology·Brunolf W LagerveldJean J M C H De La Rosette
Dec 20, 2005·Journal of Endourology·Gunnar Wendt-NordahlMaurice Stephan Michel
Jan 24, 2009·International Urology and Nephrology·Serkan AltinovaMevlana Derya Balbay

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Citations

Mar 16, 2011·Journal of Endourology·Alberto BredaMinh Do
Nov 6, 2012·Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology·Takashi ShimizuYoshio Takagi
Aug 3, 2013·The Urologic Clinics of North America·Daniel RamirezAllen F Morey
Jun 12, 2021·Urology·Ms Tamsin J Greenwell

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