Benignes Prostatahyperplasie-(BPH)-Syndrom

Zwergel, U.

doi:10.1007/s001200170045

Cited by 8 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Early incontinence can occur in up to 30–40% of patients, while late iatrogenic stress incontinence occurs in fewer than 0.5% of patients, due to an incomplete external urethral sphincter. Early incontinence usually urges symptomatic or irritative symptoms such as associated urinary tract infection (UTI) and fossa healing or detrusor instability caused by long-lasting BPH [22, 23]. In this study, at the 3-month follow-up, the rate of incontinence in group A was lower, 6.9% vs. 11.4% ( p < 0.05), while at the 12-month follow-up there was no patient with incontinence in either group.…”

Section: Discussionmentioning

confidence: 99%

Transurethral resection of the prostate with preservation of the bladder neck decreases postoperative retrograde ejaculation.

Lü

Zhang

Chen

et al. 2018

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

IntroductionEven though transurethral resection of the prostate (TURP) is the standard surgical treatment for benign prostatic hyperplasia (BPH), there is a high rate of postoperative retrograde ejaculation.AimTo evaluate the effectiveness of TURP with preservation of the bladder neck in comparison with that of standard TURP.Material and methodsThis is a retrospective study. 137 men with BPH were divided into two groups: TURP with preservation of the bladder neck and standard TURP were performed respectively in group A and group B. The patients were evaluated preoperatively and at 3, 6 and 12 months after surgery by International Prostate Symptom Score (IPSS), health-related quality of life (HRQL) score, maximum urinary flow rate (Qmax), postvoid residual urine volume (PVR) and the rate of complications including retrograde ejaculation.ResultsThere was no statistically significant difference between groups in terms of the operative duration, catheterization period, hemoglobin decrease, and hospital stay. At the 3-month follow-up, the rates of incontinence and retrograde ejaculation in group A were lower than those in group B. At the 6- and 12-month follow-ups, the difference in the frequency of retrograde ejaculation remained constantly stable whereas the incontinence rates were similar in both groups. The IPSS, HRQL score, Qmax, PVR and the rate of complications including hematuria, clot retention, urinary tract infection, urethral stricture, and bladder neck contracture evaluated at 3, 6 and 12 months also displayed a very similar response in the two groups.ConclusionsComparable with standard TURP, TURP with preservation of the bladder neck appears to provide a satisfactory clinical outcome in decreasing early postoperative incontinence and lowering the rate of retrograde ejaculation.

show abstract

Section: Discussionmentioning

confidence: 99%

Transurethral resection of the prostate with preservation of the bladder neck decreases postoperative retrograde ejaculation.

Lü

Zhang

Chen

et al. 2018

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

show abstract

“…Cystoscopy and advanced urodynamic techniques should be used in the investigation of prolonged incontinence for more than 6 months. 23 Sphincter incompetence (30%), detrusor overactivity (20%), mixed incontinence (30%), residual adenoma (5%) and urethral stricture (5%) are accepted as the causes of prolonged incontinence. Severe iatrogenic stress incontinence is seen at less than 0.5% frequency.…”

Section: Discussionmentioning

confidence: 99%

Effect of verumontanum resection in transurethral resection of the prostate on postoperative voiding function and incontinence

et al. 2011

View full text Add to dashboard Cite

Objective:We evaluated the effect of verumontanum resection after transurethral resection of the prostate on postoperative urination and incontinence symptoms in patients. Materials and Methods: A total of 68 patients who had undergone transurethral resection of the prostate during the period between January 2006 and January 2009 were included in the study. The patients were separated into two groups. After transurethral resection of the prostate, a verumontanum resection was carried out in the first group of patients, but no additional operation was carried out in the second group. At the end of the third and sixth months, all patients were assessed in terms of the International Prostate Symptom Score, maximum urinary flow rate, quality of life and urinary incontinence. Results: At the end of the sixth month, the obstructive International Prostate Symptom Score of the group in which verumontanum resection was carried out was found to be significantly better, but in terms of other parameters, no significant differences were detected between the two groups. The results achieved at the end of the sixth month were significantly better then the third month's results in both groups. In one patient who had a verumontanum resection, total incontinence developed and, consequently, an artificial urinary sphincter was placed. Conclusion: Although verumontanum resection causes no serious urination changes in patients, it was shown that the verumontanum and its circumference can be safely resected without affecting the patient's continence status.

show abstract

Transurethrale Laserenukleation der Prostata mit dem Holmiumlaser

Rassweiler

Röder

Schulze

et al. 2008

Urologe

View full text Add to dashboard Cite

Bipolar morcellation significantly prolonged the operating time (135 vs. 131 vs. 96 min). The morcellation speed averaged 2.8 (range 1.3-5.2) g/min with no complications. The resection speed (retrieval rate) of 40-W TULP was comparable to that for TURP (0.71 vs. 0.76 g/min). The transfusion rate was lower than for TURP (8% vs. 12%), with a smaller Hb difference (3.1 vs. 3.8 mg/dl). Catheter times (3.4 vs. 4.1 days) were similar; however, hospital stay was significantly shorter after TULP (5.2 vs. 6.8 days). The complication rate was significantly lower (6.6% vs. 13.3%). The efficacy of HoLEP significantly improved with introduction of the morcellator: Resection speed increased from 0.34-0.61 g/min to 0.48-0.82 g/min. HoLEP was better than 40-W TULP regarding transfusion rate (0-4% vs. 8%) and catheter time (1.1-1.5 vs. 3.4 days). Complications and functional results were similar. CONCLUSION[UBERSCHRIFT]: The intermediate-power 50-W holmium laser together with the new morcellator enable safe transurethral enucleation of the prostate. As with HoLEP, the procedure has a significant learning curve. The retrieval times of TULP are similar to those for HoLEP, but the risk of bleeding is higher. New modifications (i.e., thullium laser) will further improve the technique of laser enucleation.

show abstract

Benignes Prostatahyperplasie-(BPH)-Syndrom

Cited by 8 publications

References 12 publications

Transurethral resection of the prostate with preservation of the bladder neck decreases postoperative retrograde ejaculation.

Transurethral resection of the prostate with preservation of the bladder neck decreases postoperative retrograde ejaculation.

Effect of verumontanum resection in transurethral resection of the prostate on postoperative voiding function and incontinence

Transurethrale Laserenukleation der Prostata mit dem Holmiumlaser

Contact Info

Product

Resources

About