Complications and Early Postoperative Outcome After Open Prostatectomy in Patients With Benign Prostatic Enlargement: Results of a Prospective Multicenter Study

Gratzke, Christian; Schlenker, Boris; Seitz, Michael; Karl, Alexander; Hermanek, P; Lack, Nicholas; Stief, Christian G.; Reich, Oliver

doi:10.1016/j.juro.2006.11.062

Cited by 244 publications

(164 citation statements)

References 19 publications

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“…1-3, [16][17][18][19][20][22][23][24][25][26][27][28][29][30] In particular, the transfusion rate was low in this study (1.2%), even though the mean Hb decrease was higher with 120-w than with 70-w ThuVEP (1.83 g dl 21 vs. 0.75 g dl 21 ). The laser enucleation of larger glands leads to a large surface area of the prostate fossa.…”

Section: Discussioncontrasting

confidence: 55%

“…5 The Hb decreases and transfusion rates after 70-and Seventy-and 120-w 2-mm Tm:YAG VapoEnucleation C Netsch et al 328 120-w ThuVEP of larger glands are therefore comparable to those for HoLEP and lower than those for OP or TURP. [1][2][3][16][17][18][19][20][22][23][24][25][26][27][28][29][30] None of the patients required a re-intervention because of BPO during the follow-up. At the 12-month follow-up, BNCs requiring surgical treatment appeared in 2.3% and 2.5% of the patients after 70-and 120-w ThuVEP, respectively, which is comparable to the HoLEP, TURP and OP series ( Table 4).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Thulium:YAG VapoEnucleation of the prostate in large glands: a prospective comparison using 70- and 120-W 2-µm lasers

Netsch¹,

Bach²,

Herrmann³

et al. 2012

Asian J Androl

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This study compared the efficacy of 70-and 120-w 2-mm thulium:YAG VapoEnucleation of the prostate (ThuVEP) for patients with benign prostatic obstruction (BPO). A prospective analysis of 84 patients with symptomatic BPO and prostatic enlargement (o60 ml) who underwent either 70-w (n544) or 120-w ThuVEP (n540) non-randomly was carried out. Patient demographics and perioperative and 12-month follow-up data were analysed. The mean prostate volume was 79.90627.49 ml in patients who had received 70-w ThuVEP, which was less than in those who had received 120-w ThuVEP (88.53625.10; P50.033). ; P50.000) and percentage of resected tissue (66.93%622.79% vs. 45.41%623.33%; P50.000) were higher with 120-w treatment compared to 70-w ThuVEP. One patient (1.2% of total patients) (in the 120-w group) required a blood transfusion postoperatively. Sixty-one patients (73%) were available for review at the 12-month follow-up time point. The quality of life (QoL), International Prostate Symptom Score (IPSS), maximum urinary flow rate (Q max ), postvoiding residual urine (PVR) and prostate volume improved significantly after treatment (Pf0.035) and were not significantly different between those treated with the different devices (70-and 120-w). The median prostate volume reduction was 81.70% and 82.19% with 70-and 120-w ThuVEP, respectively. The incidence of complications was low and did not differ between groups treated with the different devices. Two patients (2.4%) (one per group) had a bladder neck contracture at the follow-up. ThuVEP is a safe and efficacious procedure for the treatment of symptomatic BPO. The incidence of complications was low with both devices. The 120-w thulium:YAG device enhances the effectiveness of ThuVEP with regard to the percentage of resected tissue and the enucleation/operation efficiency.

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Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Thulium:YAG VapoEnucleation of the prostate in large glands: a prospective comparison using 70- and 120-W 2-µm lasers

Netsch¹,

Bach²,

Herrmann³

et al. 2012

Asian J Androl

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“…The overall complication rate for open prostatectomy in one recent study [5] was 40.1% (145/362) and the most common intraoperative complication in this procedure was bleeding. In a study of 902 patients [6] the overall complication rate was 17.3%. The most relevant complications were bleeding requiring transfusion in 68 cases (7.5%), urinary tract infection in 46 (5.1%) and surgical revision due to severe bleeding in 33 (3.7%).…”

Section: Discussionmentioning

confidence: 96%

Intraprostatic Fossa Foley Balloon Tamponade: A Novel Technique for Controlling of Life-Threatening Bleeding During Simple Prostatectomy

Moradi¹,

Aghelnezhad²,

Abdi³

et al. 2016

UNOAJ

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Objective: To evaluated the efficacy, postoperative morbidity and technical complications of novel technique for controlling of bleeding during simple prostatectomy. Materials and Methods:We retrospectively reviewed the 11 patients whom underwent balloon tamponade due to massive life-threatening bleeding from prostatic fossa during open prostatectomy in our center since January 2007 till February 2016.Results: Overall 11 patients were studied. The mean patient age was 74.81 years (range: 64 -92). The procedures were performed via a suprapubic transvesical approach in 9 and retropubic in 2 patients. After this simple technique lifethreatening bleeding was stopped completely. Fortunately, we didn't find any complication attributable to our technique. There was no bladder neck stricture, fistula formation or rectal injury even in those patients who underwent retropubic procedure. Intra operative transfusion was done in all patients. Conclusion:Balloon tamponade is a simple, quick and lifesaving new technique which is used when persistent and significant bleeding from the prostatic fossa continues after simple prostatectomy.

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“…Başarı ve Komplikasyonlar: Açık prostatektomi sonrası AUSS' deki düzelme %63-86, IPSS'deki düzelme %60-87, postvoiding rezidü idrar miktarındaki azalma %86-98 olarak bildirilmiştir. Re-operasyon oranları yok denecek kadar azdır [11][12][13][14][15]. Açık prostatektomiye bağlı aşırı kanama eskiden büyük bir problem iken, modern cerrahi tekniklerle günümüzde kan kaybı çok azdır.…”

Section: Endikasyon Ve Kontrendikasyolarunclassified

Açık Prostatektomi Teknikleri

2015

Indications and Resection Methods of Prostate

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GirişAlt üriner sistem semptomları (AÜSS) erişkin erkeklerde en sık görülen semptomlardandır ve prevelansı yaşlanma ile artar [1,2]. Tahmini prevelans yaygın olarak kullanılan tanımlamalara ve örneklere bağlı olarak değişir, ama yaşlı erkeklerde en az bir AÜSS görüldüğü rapor edilmiştir. AÜSS depolama, işeme ve işeme sonrası semptomlarına ayrılır ve geleneksel olarak sıklıkla benign prostat obstrüksiyonu sonucu gelişen mesane çıkım obstrüksiyonu ile ilişkilidir [3,4]. Bu durum da histolojik olarak benign prostat hiperplazisinin (BPH) sonucunda gelişen benign prostatik büyüme ile ilişkilidir. BPH tedavisi denilince 20. yüzyıl başlarında açık prostatektomi ve transü-retral prostat rezeksiyonu (TUR-P) akla gelmekteydi, ancak son yıllarda medikal ve minimal invaziv tedavilerin popüler olması ile cerrahi işlem sıklığında azalma meydana gelmiştir. Ancak medikal tedavinin uzun dönem sonuçlarındaki başarısızlık ve ablasyon yapmayan tedavilerin yetersizliği nedeni ile cerrahi yöntemler son zamanlarda tekrar gündeme gelmeye başlamıştır. Genel olarak BPH için cerrahi girişim endikasyonları; 1-Kronik üriner retansiyon 2-Tekrarlayan üriner sistem enfeksiyonu 3-Medikal tedaviye yanıt vermeyen prostat kaynaklı kanama 4-BPO ya bağlı renal yetmezlik 5-Mesane taşları olarak sayılabilir.Açık prostatektomi en eski prostatektomi yöntemidir. İlk defa 1885 yılında Von Dittel tarafından bir doktora açık prostatektomi yapılmıştır. Hasta 6 gün sonra enfeksiyon ve ekstravazasyon sonucunda ölmüştür. Açık prostatektomi retropubik veya

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Complications and Early Postoperative Outcome After Open Prostatectomy in Patients With Benign Prostatic Enlargement: Results of a Prospective Multicenter Study

Cited by 244 publications

References 19 publications

Thulium:YAG VapoEnucleation of the prostate in large glands: a prospective comparison using 70- and 120-W 2-µm lasers

Thulium:YAG VapoEnucleation of the prostate in large glands: a prospective comparison using 70- and 120-W 2-µm lasers

Intraprostatic Fossa Foley Balloon Tamponade: A Novel Technique for Controlling of Life-Threatening Bleeding During Simple Prostatectomy

Açık Prostatektomi Teknikleri

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