Impact of Changing Trends in Medical Therapy on Transurethral Resection of the Prostate: Two Decades of Change in China

Urology
Runqi GuoBen Xu

Abstract

To retrospectively assess that over the 2 decades, whether medical therapy has changed indications, patient characteristics, and outcomes in men undergoing transurethral resection of the prostate (1992-2013). At our institution, medical history of all patients undergoing surgery before 1998, between 2001 and 2003, and between 2011 and 2013 was reviewed. Patient demographics, preoperative clinical profile, clinical management, and operative complications were assessed. A total of 1157 patients were enrolled in the study. Mean ages of patients increased from 67.0 to 70.4 years old over the past 2 decades. Furthermore, comorbidities increased significantly as well. Although prostate size and weight of resected tissue increased from 57.3 to 92.3 g and from 24.3 to 36.6 g, the surgical time decreased from 78.21 to 72.29 minutes. From 2011 to 2013, patients undergoing surgery had their catheters remove earlier (from 5.7 to 4.5 days), whose postoperative days in hospital were shorter (from 9.3 to 4.4 days). Although operative complications decreased from 12.3% to 5.7%, especially bleeding, re-operation due to bleeding increased from 0.4% to 2.7%. Moreover, no statistical difference was observed in operative complications between patie...Continue Reading

References

Jun 22, 2000·European Urology·G M Clifford, R D Farmer
Dec 19, 2003·The New England Journal of Medicine·John D McConnellUNKNOWN Medical Therapy of Prostatic Symptoms (MTOPS) Research Group
Feb 17, 2006·European Urology·Oliver ReichChristian G Stief
May 24, 2008·The Journal of Urology·Oliver ReichUNKNOWN Urology Section of the Bavarian Working Group for Quality Assurance
Mar 23, 2011·The Journal of Urology·Kevin T McVaryJohn T Wei
Aug 21, 2012·Asian Journal of Andrology·Hui DingZhi-Ping Wang

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Citations

Jan 4, 2017·The Journal of Urology·Tracy MarienNicole L Miller
Feb 25, 2018·The Kaohsiung Journal of Medical Sciences·Run-Qi GuoBai-Nian Pan
Mar 16, 2018·Annals of the Royal College of Surgeons of England·M J YoungJ R Wilson

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