Safety and efficacy of transurethral resection of prostate glands up to 150 ml: a prospective comparative study with 1 year of followup

The Journal of Urology
Giovanni MuzzonigroMarco Dellabella

Abstract

We investigated the safety and efficacy of transurethral resection of the prostate (TURP) for prostate glands between 70 and 150 ml. We prospectively evaluated 113 patients treated with TURP for benign prostatic hyperplasia. A total of 57 patients with a prostate volume of less than 70 ml were assigned to group 1, while 56 with a prostate volume of between 70 and 150 ml were assigned to group 2. Preoperative parameters considered in each patient were prostate volume, International Prostate Symptom Score (I-PSS), urinary flow rate measurement (Qmax) and post-void residual urine volume (PVR). Operative time, resected tissue weight and all complications were recorded. All patients were evaluated 3 months and 1 year postoperatively. Preoperative, perioperative and postoperative data on the 2 groups were compared. Each group achieved significant improvement in I-PSS, Qmax and PVR. Operative time was significantly longer in group 2 but the complication rate was similar in the 2 groups. Group 2 resulted in better improvements in Qmax and I-PSS. At 1 year of followup PVR was significantly lower in group 1 than in group 2. Multivariate analysis revealed that only age was a significant independent predictor of complications, and only age...Continue Reading

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Citations

Jan 19, 2012·International Urology and Nephrology·Omer Gokhan DoluogluMesut Cetinkaya
Aug 21, 2012·Asian Journal of Andrology·Hui DingZhi-Ping Wang
Oct 27, 2009·Journal of Endourology·Amy E KrambeckJames E Lingeman
Nov 3, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Anil Varshney, Anshuman Agarwal
Nov 28, 2009·The Urologic Clinics of North America·Matthew S Wosnitzer, Matthew P Rutman
Dec 13, 2005·BJU International·Brian R MatlagaJames E Lingeman
Jan 25, 2005·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Wai C ChengSang W Wong
Aug 1, 2015·The Aging Male : the Official Journal of the International Society for the Study of the Aging Male·Xiaoqiang QianJun Qi
Nov 21, 2007·Urologia Internationalis·Volkan TugcuFatih Zorluoglu

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