Factors predicting the development of urethral stricture after bipolar transurethral resection of the prostate

Afandiyev, Faraj; Celasin, Haydar

doi:10.1590/1806-9282.20210550

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…The median preoperative prostate volume resected in a study was 57 ml (39 -80.75) [14], in this study, the mean resected prostate volume was 54 ± 12.3 cc der catheter is reduced and the length of hospitalization is also reduced. The mean duration of post-operative bladder catheterization was 4 days in the study of M et al [15], and the mean duration of hospitalization was 4.8 days in another study cited by Abdallah MM [16].…”

Section: Discussionmentioning

confidence: 44%

Bipolar Transurethral Resection of the Prostate: Short-Term Outcome Evaluation in Regional Hospital in Senegal

Cissé¹,

Traoré²,

Diallo³

et al. 2023

OJU

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Introduction: Transurethral resection of the prostate is still the most popular procedure that use for the surgical treatment of lower urinary tract symptoms due to benign prostatic obstruction in developed countries. Bipolar transurethral resection of the prostate (B-TURP) is a recent technique in our urological practice. The aim of this study was to evaluate our preliminary results on the use of a B-TURP in Kolda (Senegal) in a benign prostatic hyperplasia (BPH). Materials and Methods: This was a 15-month, retrospective and descriptive study from June 2021 to August 31, 2022. It examined the records of patients who had BPH requiring surgical treatment and who received Bipolar transurethral resection of the prostate (B-TURP) during the study period at the Kolda Regional Hospital in Senegal. We used a Karl STORZ bipolar endoscopy column with a 26 sheath and 30˚ optics. The parameters studied were the civil status of the patients, the clinical and para-clinical data as well as the operative indications. The data were entered and analyzed using Epi-info 3.5.1.1. Results: A total of 31 patients underwent bipolar transurethral resection of the prostate during the study period. The mean age of patients was 68.5 ± 12.6 years (range, 56 -77 years). The mean total PSA was 4 ± 2.3 ng/ml (range, 0.5 -11 ng/ml). The mean prostate size assessed by ultrasound was 54 ± 12.3 ml (range, 30 -90 ml). The operative indication was dominated by BPH with impact on the upper urinary tract. The mean of bladder irrigation time was 21.4 ± 3.9 hours (range, 12 -26 hours). In the immediate postoperative period, blood transfusions were performed in 2 patients (6.5%). In the medium-term follow-up, we noted one 1 (3.2%) case of urine retention requiring bladder catheterization. Conclusion: Bipolar Transurethral resec-

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Section: Discussionmentioning

confidence: 44%

Bipolar Transurethral Resection of the Prostate: Short-Term Outcome Evaluation in Regional Hospital in Senegal

Cissé¹,

Traoré²,

Diallo³

et al. 2023

OJU

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“…For example, Tan GH et al found a urethral stricture rate of 3.5% in long-term follow-up of 373 patients who underwent TUR-P surgery [5]. Similarly, Afandiyev F. et al found the rate of urethral stricures after TURP as 10.5% in their study of 124 patients who were followed up [6]. In addition to these two previous studies, Grechenkov A. et al reported the rate of urethral stricture as 8.6% in their current study with 402 patients who underwent bipolar TUR-P [7].…”

Section: Discussionmentioning

confidence: 97%

The factors affecting occurrence of urethral stricture after transurethral resection of the prostate

Durmuş

Sert

2022

J CLIN MED KAZ

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Objectives: Urethral stricture is one of the complex subjects of urology in terms of high recurrence rates, patient care, treatment difficulties and follow-up. We aimed to evaluate factors associated with the occurrence of urethral stricture after TUR-P (Transurethral resection of the prostate) surgery. Material and methods: In our clinic, 301 patients who underwent TUR-P surgery for benign prostatic hyperplasia (BPH) were analyzed retrospectively. The patients who developed urethral stricture after TUR-P were named Group-1, did not develop were named Group-2. In addition, the patients were compared in terms of demographic and perioperative data.  Results: Urethral stricture was observed in 21 (6.97%) of the patients and not in 280 (93.03%) of them. There was no significant difference between the two groups in terms of age (p=0.913), resectoscope size (p=0.932), energy source type (p=0.932), energy source power (p=0.838), urethral catheter type (p=0.776), urethral catheter size (p=0.973), urethral catheter duration (p=0.797) and urethral catheter traction (p=0.887). Resection time was significantly higher in patients with urethral stricture (53.1±10.8 min vs. 42.2±9.7 min, p<0.001). The preoperative urinary tract infection (UTI) rate was significantly higher in patients with urethral stricture. (76.2% vs 40.0%, p=0.001). The optimum cut-off value for resection time associated with the risk of urethral stricture after TUR-P was 38.5 minutes, with an AUC of 0.812 (95% CI 0.738–0.885). Conclusion: Prolonged resection time and even if treated, preoperative UTI increases the risk of urethral stricture after TUR-P surgery. However, if the resection time is not long, patients are more protected from developing urethral stricture.

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Biomarkers in Urethral Stricture Disease and Benign Lower Urinary Tract Disease

Campbell¹,

Hayden²,

Vanni³

2023

Urologic Clinics of North America

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Factors predicting the development of urethral stricture after bipolar transurethral resection of the prostate

Cited by 3 publications

References 20 publications

Bipolar Transurethral Resection of the Prostate: Short-Term Outcome Evaluation in Regional Hospital in Senegal

Bipolar Transurethral Resection of the Prostate: Short-Term Outcome Evaluation in Regional Hospital in Senegal

The factors affecting occurrence of urethral stricture after transurethral resection of the prostate

Biomarkers in Urethral Stricture Disease and Benign Lower Urinary Tract Disease

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