A prospective study comparing bipolar endoscopic enucleation of prostate with bipolar transurethral resection in saline for management of symptomatic benign prostate enlargement larger than 70 g in a matched cohort

Kan, Chi Fai; Tsu, Hok Leung; Chiu, Yi Chang; To, Hoi Chu; Sze, Bonnie; Chan, Steve Wai Hee

doi:10.1007/s11255-013-0546-4

Cited by 19 publications

(18 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The rate of urinary tract infection ranged from 2% to 7.3%, and the re-catheterisation rate was <5%. Major complications were not common but did occur, as reported by Kan et al 14 ; four admissions to intensive care units and nine conversions to other procedures were reported in this series of 74 patients. The rate of urethral stricture or bladder neck stenosis was low and comparable with conventional TURP as reported by the series by Liu et al 11 Long-term outcome was not reported in our series due to the short duration of follow-up.…”

Section: Discussionsupporting

confidence: 79%

“…Zhao et al 12 and Liao and Yu 13 followed by comparing bipolar TUERP and TURP in mediumsized prostates. Kan et al 14 compared bipolar TUERP and TURP in large prostates, and Rao et al, 15 Ou et al, 16 Geavlete et al, 17 and Chen et al 18 compared bipolar TUERP with OP. The operative and early postoperative outcomes of bipolar TUERP from various studies are listed in Table 3.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Early postoperative outcome of bipolar transurethral enucleation and resection of the prostate

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Early postoperative outcome of bipolar transurethral enucleation and resection of the prostate

et al. 2015

View full text Add to dashboard Cite

show abstract

“…It is applicable to moderate‐to‐large size prostates, and is as efficacious as TURP or open enucleation surgery …”

Section: Treatmentmentioning

confidence: 99%

Clinical guidelines for male lower urinary tract symptoms and benign prostatic hyperplasia

et al. 2017

View full text Add to dashboard Cite

The present article is the abbreviated English translation of the Japanese guidelines for male lower urinary tract symptoms and benign prostatic hyperplasia updated as of the end of 2016. The target patients are men aged >50 years complaining of lower urinary tract symptoms, with or without benign prostatic hyperplasia, and the target readers are non-urological general physicians and urologists. Mandatory assessment for general physicians is medical history, physical examination, urinalysis and measurement of serum prostate-specific antigen. Additional mandatory assessment for urologists is symptoms and quality of life assessment by questionnaires, uroflowmetry, residual urine measurement, and prostate ultrasonography. Nocturia requires special attention, as it can result from nocturnal polyuria and/or sleep disturbance rather than lower urinary tract disorders. Functional lower urinary tract disorders with or without benign prostatic hyperplasia are primarily managed by conservative therapy and medications, such as a 1 -blockers and phosphodiesterase-type 5 inhibitors. Use of other medications or combination pharmacotherapy is to be reserved for urologists. 5a-Reductase inhibitors and anticholinergics or b3 agonists are indicated for men with enlarged prostates and overactive bladder symptoms, respectively. Surgical intervention for bladder outlet obstruction is considered for persistent symptoms or benign prostatic hyperplasia-related comorbidities. Surgical modalities should be optimized by the patient's characteristics, performance of equipment and the surgeon's experience.

show abstract

“…However, bipolar TUERP could result in a significantly longer operative time. 18 One of the major finding in our study was the higher efficiency of tissue removal by bipolar TUERP. Despite the significantly higher specimen weight in the bipolar TUERP group (Table 2), there was no significant increase in theatre time.…”

Section: Discussionmentioning

confidence: 57%

“…The results generally reflect a superior early functional outcome and favourable safety profile of bipolar TUERP. However, bipolar TUERP could result in a significantly longer operative time …”

Section: Discussionmentioning

confidence: 60%

Bipolar transurethral enucleation and resection of the prostate versus bipolar transurethral resection of the prostate for prostates larger than 80 g: Comparison of early postoperative outcome

et al. 2017

View full text Add to dashboard Cite

Aim The aim of the present study was to compare the safety and early postoperative outcomes of bipolar transurethral enucleation and resection of the prostate (TUERP) and transurethral resection of the prostate (TURP) in patients with prostates larger than 80 g. Patients and Methods Between January 2014 and December 2016, 41 and 61 patients had bipolar TUERP and bipolar TURP performed at our unit for the treatment of prostates larger than 80 g. All patients were evaluated preoperatively by digital rectal examination, transrectal ultrasonography and laboratory studies, including measurement of haemoglobin and prostate‐specific antigen levels. Patients were reassessed postoperatively at 3 months. Results The preoperative parameters between bipolar TUERP and TURP were comparable. Bipolar TUERP is more efficient in tissue removal, with more tissue retrieved per minute of theatre time (0.73 g/min vs 0.64 g/min, P = 0.022). The hospitalization time between the groups was comparable. Bipolar TUERP achieved a lower serum prostate‐specific antigen level (1 ng/mL vs 1.8 ng/mL, P < 0.001), lower transrectal ultrasonography volume (18.3 cm3 vs 23.8 cm3, P < 0.001) and higher peak flow rate (23.1 mL/s vs 16.9 mL/s, P = 0.026) compared with bipolar TURP at 3 months postoperatively. Postoperative complications due to urinary tract infection were more common in the bipolar TURP group, while the readmission rate due to transient haematuria was higher among bipolar TUERP patients. The transfusion rate was low in both groups, and postoperative urethral stricture was uncommon. Conclusions Bipolar TUERP is a safe technique for the surgical treatment of large prostates. More complete removal of adenoma can be achieved without an increase in theatre time. Bipolar TUERP results in better early postoperative functional outcomes in terms of higher peak flow rate compared with bipolar TURP. The complication rate is not increased with bipolar TUERP.

show abstract

A prospective study comparing bipolar endoscopic enucleation of prostate with bipolar transurethral resection in saline for management of symptomatic benign prostate enlargement larger than 70 g in a matched cohort

Abstract: For surgical treatment of big BPE, bipolar endoscopic enucleation of prostate provided superior functional outcome than bipolar resection but required longer operative time.

Cited by 19 publications

References 12 publications

Early postoperative outcome of bipolar transurethral enucleation and resection of the prostate

Early postoperative outcome of bipolar transurethral enucleation and resection of the prostate

Clinical guidelines for male lower urinary tract symptoms and benign prostatic hyperplasia

Bipolar transurethral enucleation and resection of the prostate versus bipolar transurethral resection of the prostate for prostates larger than 80 g: Comparison of early postoperative outcome

Contact Info

Product

Resources

About