A new surgical technique: transvesical resection of prostate - case series

Abstract

Objective:To protect the urethra from instrumentation related urethra injures and stricture, we developed a new surgical technique which can be defined as transvesical resection of prostate without using urethra.Materials and Methods:Our study included 12 consecutive bladder outlet obstruction patients treated with transvesical prostate resection in our clinic between March 2016 and May 2016. Detailed anamnesis, results of physical examination, digital rectal examination, routine lab tests, international prostate symptoms score, transrectal ultrasound, measurement of prostate-specific antigen levels and uroflowmetry was performed in all patients prior to surgery.Results:Hospitalization period following surgery was 1 day. Foley catheter and suprapubic cystostomy catheters were removed in a median period of 3.6 days and 1 day. Median mass of resected adenomas was measured as 21.8 gr. Median maximum flow rate was measured as 6mL/s. Median postvoid residual urine volume was 70.6 cc and median international prostate symptoms score and quality of life scores were 9 and 1.4, respectively.Conclusion:In this study, we would like to show the possible practicality of transvesical resection of prostate technique in this patient group. However, we think that this technique is very useful in special patient groups such as patients with bladder stones, priapism and penile prosthesis.

Percutaneous resection of anteriorly located midline prostatic cyst: A case report and description of technique

“…Percutaneous approaches to treat different pathologies in the urinary tract have been described before. This approach has been used to treat large bladder stones and benign prostatic hypertrophy [ 9 , 10 ]. To our knowledge, this is the first description of its use to treat an anterior MPC.…”

Transurethral Resection of the Prostate at the Urology Department of Ignace Deen Hospital, Conakry, Guinea

“…The high PSA level in our series as well as those of Kane and Diakité was due to the fact that TURP affected both BPH and locally advanced or metastatic prostate cancer (16 cases in our study). Several authors [4,[14][15][16] have not reported a PSA level. The PSA assay is part of the recommended work-up in the surgical management of BPH in patients where the discovery of prostate cancer could change the therapeutic indication.…”

A new Surgical Technique: Transvesical Prostate Resection

“…In our study, we developed a new surgical technique which can be defined as Transvesical Resection of Prostate (TVRP) without using the urethra. This method was previously described in our articles ( 1 ).…”