Comparison of long‐term results of transurethral incision of the prostate with transurethral resection of the prostate, in patients with benign prostatic hypertrophy

Abstract

One hundred patients with benign prostatic hypertrophy (BPH) were randomized to transurethral incision (TUIP) or transurethral resection of the prostate (TURP). The average prostate weight before operation was not more than 30.0 g. Indications for the operations were based on the disease history, physical examination, digital rectal examination, laboratory values, and pressure-flow examination. All operations were performed with patients under spinal anesthesia. TUIP was performed with a Collins knife, and TURP was performed with a resectoscope. Follow-up was performed 24 months after the operations. After treatment there were statistically significant daytime and nocturnal reduction in voiding frequencies of 2.9 and 1.7, respectively, after TUIP, and 2.0 and 1.5 after TURP. In both groups, there occurred significantly better maximal flow rate from 7.6 mL/s to 16.9 mL/s in group I and from 6.9 mL/s to 17.6 mL/s in group II. The mean values of linearized passive urethral resistance relation in both groups significantly decreased from 3.6 +/- 0.6 to 1.0 +/- 0.5 after TUIP and from 3.9 +/- 04 to 1.4 +/- 0.5 after TURP. The TUIP procedure is effective and safe for patients with a small number of complications.

Systematic review and economic modelling of effectiveness and cost utility of surgical treatments for men with benign prostatic enlargement

“…Only one study 186 reported quality of life of patients following surgery using the IPSS QoL (0-6) questionnaire. At 2 years, quality of life appeared to be marginally higher for those patients who underwent TURP (Appendix 9.5, comparison 05:08:01: WMD 0.20, 95% CI 0.01-0.39, p = 0.04).…”

“…The baseline characteristics of the included studies are summarised in In terms of symptom scores, two studies reported IPSS/AUA scores 149,186 and four reported MadsenIversen scores. 135,152,180,181 Of the studies reporting IPSS/AUA scores, 50 participants allocated to TUIP had moderate symptoms of BPE and 20 had severe symptoms compared with 21 with severe and 50 with moderate symptoms among those allocated to TURP.…”

“…135,149,152,157,[180][181][182][183][184][185][186] These are tabulated in Appendix 8.5, Table 65. Only peak urine flow rate is presented in this section.…”

“…A total of 871 participants were randomised across 11 eligible RCTs and reported in 14 papers. 135,149,152,157,[180][181][182][183][184][185][186][238][239][240] The total number of people allocated to TUIP was 430 and the total allocated to TURP was 441. 135,152,180,181 Of the studies reporting IPSS/AUA scores, 50 participants allocated to TUIP had moderate symptoms of BPE and 20 had severe symptoms compared with 21 with severe and 50 with moderate symptoms among those allocated to TURP.…”

Male Stress Urinary Incontinence Following Surgical Intervention: Procedures, Technical Modifications, and Patient Considerations

“…In a larger study of 220 divided equally to TURP or TUIP reported two patients who developed incontinence following TUIP (1.8 %) and four patients who developed incontinence following TURP (3.6 %) [ 14 ]. Furthermore, more contemporary studies such as Tkozc & Prasjner reported no new SUI for 100 patients randomized to either TURP or TUIP, which may be refl ective of improvements in optical technology and further experience with the procedure [ 15 ].…”