A Critical Evaluation of the Results of Transurethral Resection of the Prostate

Chilton, Chris; Morgan, RJ; England, H. R.; Paris, A. M. I.; Blandy, J. P.

doi:10.1111/j.1464-410x.1978.tb06208.x

Cited by 140 publications

(59 citation statements)

References 7 publications

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“…It is not possible to validate this subjective outcome of therapy, the prognostic value of diÂerent diagnostic tests is low [11][12][13][14]. The subjective the accuracy of the medical decisions recorded using the computer program; there is an intrinsic accuracy primaroutcome after TURP has a probability of about 0.8 for improvement or complete recovery and this probability ily because the decision-maker only receives the 'hard' objective data from each case and thus the method could does not seem to be related to the diagnostic process, which diÂered in the studies reported [15][16][17][18]. Thus, if be useful in studying the reproducibility of medical decisions made using diagnostic data.…”

Section: Resultsmentioning

confidence: 99%

The urological management of men with lower urinary tract symptoms, recorded using an interactive computer program

Hansen

Zdanowski

1997

British Journal of Urology

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Objective To analyse the level of agreement amongResults For the 18 patients, the urologists, as a first choice, treated a mean (sd, range) of 8.3 (3.4, 3-16) urologists from the industrialized world in the management of men with lower urinary tract symptoms patients with TURP, 3.9 (3.6, 0-11) with alphablockers, 2.3 (1.7, 0-6) with watchful waiting and (LUTS). Methods Thirty-three urological departments partici-1.7 (2.4, 0-9) with finasteride. The other therapy options were only oÂered as a first choice by a few of pated in the study. A computer program was used to provide an unbiased format of 18 simulated the urologists in a few of the cases. The mean (sd, range) cost per patient of the diagnostic process was cases of men with LUTS which individual urologists then evaluated diagnostically and made therapeutic US$ 594 (209, 326-1350). Conclusion There was considerable disagreement among decisions about their management. The management of the patients was assessed for the probability that a the urologists about the management of men with LUTS, which included both the choice of diagnostic diagnostic test was used, that a therapy was oÂered to a particular patient, the first-choice therapies selectests and the criteria for oÂering therapy to patients. If such disagreement prevails generally, it may be ted, the mean cost and range for the diagnostic process per patient and the number of first-choice therapies detrimental for the outcome of patients seeking medical attention for LUTS, and the cost of the medical oÂered by one urologist for all the patients. Various discriminators for these therapeutic decisions were care of these patients will be unnecessarily high. Keywords Lower urinary tract symptoms, decision evaluated, analysing the correlations between the information provided by the diagnostic tests and the making, expert consensus, outcome probability of a particular therapy.weakly, which may reflect the considerable disagreement

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Section: Resultsmentioning

confidence: 99%

The urological management of men with lower urinary tract symptoms, recorded using an interactive computer program

Hansen

Zdanowski

1997

British Journal of Urology

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“…The early mortality rate from TURP is about 1.6% vs. a mortality rate of about 1% for open surgery [7, 8, 9]. Our experience shows a perioperative mortality of about 0.5%, vs. a mortality rate of 0.4% nationwide.…”

Section: Resultsmentioning

confidence: 85%

“…Marshall [10]reports that 15–20% of the patients who underwent open surgery needed blood transfusion vs. 3–16% of those patients who underwent TURP [7, 8, 9, 10, 11]. The data on hemorrhage in Italian urologic units show that this appears to be around 6% (range 0.1–45%).…”

Section: Resultsmentioning

confidence: 99%

Open Prostatectomy in Benign Prostatic Hyperplasia: 10-Year Experience in Italy

et al. 1998

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“…As a result, TURP is described as being inferior to open prostatectomy with regard to urine flow, residual urine volume, etc. Complete resection of the adenoma beyond the verumontanum is preferable in the long-term perspective of preventing recurrence and the verumontanum should not been a landmark for TURP [9].…”

Section: Discussionmentioning

confidence: 99%

Measurement of Residual Adenoma after Transurethral Resection of the Prostate by Transurethral Enucleation Technique

et al. 2005

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Objective: Transurethral resection of the prostate (TURP) leaves a lot of residual adenoma and has a high recurrence rate, but the residual adenoma weight has not been measured surgically. Using surgery we tried to measure the residual adenoma after TURP. Material and Methods: Total adenoma resection was performed via standard TURP in 64 cases with benign prostatic hyperplasia and the weight of the residual adenoma was measured by transurethral enucleation (TUE) of the prostate. Results: Prostate volume averaged 37.4 ml and adenoma volume averaged 20.6 ml by TRUS. The average weight of the prostate removed by TURP was 9.8 g. After TURP residual adenoma was confirmed in all cases by TUE, and the average weight of the residual adenoma was 10.2 g. The total average prostate volume removed by TURP and TUE was 20.1 g. The average residual rate of the adenoma removed by TURP was 54.5%. Conclusion: TURP leaves about half of the adenoma. Therefore, TURP might be very difficult for complete resection of an adenoma.

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A Critical Evaluation of the Results of Transurethral Resection of the Prostate

Cited by 140 publications

References 7 publications

The urological management of men with lower urinary tract symptoms, recorded using an interactive computer program

The urological management of men with lower urinary tract symptoms, recorded using an interactive computer program

Open Prostatectomy in Benign Prostatic Hyperplasia: 10-Year Experience in Italy

Measurement of Residual Adenoma after Transurethral Resection of the Prostate by Transurethral Enucleation Technique

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