Complications of Transurethral Resection of the Prostate (TURP)—Incidence, Management, and Prevention

Rassweiler, Jens; Teber, Doğu; Kuntz, Rainer M.; Hofmann, Rainer

doi:10.1016/j.eururo.2005.12.042

Cited by 1,070 publications

(807 citation statements)

References 47 publications

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“…By 2007, the median number of years of experience in urology was 10 years (range [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Patients in both study arms were treated by the same surgeons.…”

Section: Discussionmentioning

confidence: 99%

“…Monopolar TURP is still the standard surgical approach in benign prostate syndrome, and has excellent results with regard to subjective and objective symptoms. [1][2][3] Advances in technology and methods over the years have considerably improved the safety profile of TURP, both in terms of surgery and anesthesia. Despite these, TURP is still associated with the risk of heavy intraoperative bleeding and disturbances in the electrolyte metabolism (transurethral resection (TUR) syndrome) from absorption of large amounts of irrigation fluid.…”

Section: Introductionmentioning

confidence: 99%

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Bipolar versus monopolar TURP: a prospective controlled study at two urology centers

Engeler

Schwab

Neyer³

et al. 2010

Prostate Cancer Prostatic Dis

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We compared bipolar and monopolar TURP in a prospective controlled study at two urology centers. The objective of the study was to establish whether there were differences between the two methods with regard to frequency of the transurethral resection (TUR) syndrome, amount of fluid absorbed during surgery, risk of hemorrhage, duration of postoperative catheterization and duration of hospitalization. The duration of surgery, improvement in maximum flow rate (Q-max), residual urine volume, International Prostate Symptom Score (IPSS) and Quality of Life (QoL) score were also compared. Overall, our study showed that there were no major differences between bipolar and monopolar TURP. During follow-up, the clinical efficacy of bipolar TURP has been maintained to the same degree as with the traditional method, with no significant differences for Q-max, IPSS and QoL scores after 1 year. Although the risk of developing TUR syndrome seemed to be smaller with bipolar resection (serum sodium change bipolar versus monopolar: þ 1.2 versus À0.1 mmol l À1 ), the bleeding tendency with both methods was the same (14.0 g l À1 hemoglobin loss after 1 day in both groups). On the basis of our findings, we think that the monopolar technique has still a place in TURP.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bipolar versus monopolar TURP: a prospective controlled study at two urology centers

Engeler

Schwab

Neyer³

et al. 2010

Prostate Cancer Prostatic Dis

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“…These techniques have aimed to overcome the not inconsiderable complications associated with TURP, including bleeding, retrograde ejaculation and incontinence. 1,2 One such procedure is laser prostatectomy involving tissue vaporization, which results in an instantaneous debulking of the tissue. According to the wavelength, the power and the mode of action (continuous or pulsed mode) there is the possibility of avoiding coagulative effects within the prostate tissue.…”

Section: Introductionmentioning

confidence: 99%

Preliminary results on selective light vaporization with the side-firing 980 nm diode laser in benign prostatic hyperplasia: an ejaculation sparing technique

Leonardi¹

2009

Prostate Cancer Prostatic Dis

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This study examined efficacy and safety of the 980 nm side-firing diode laser operating at a power of 100 W in patients with lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH). Patients were selected for surgery on the basis of maximum urinary flow rate (Qmax) p15 ml/s or transvesically measured post-voiding residual volume (PVR) 4100 ml in conjunction with an International Prostate Symptom Score (IPSS) 47. Laser therapy was conducted under spinal anaesthesia. Qmax, IPSS, prostate volume, PVR, IPSS-Quality of Life (QoL) questionnaire and ejaculatory function were measured at baseline and at 1, 3, 6 and 12 months post-laser therapy. A total of 52 consecutive patients aged 52-65 years with mean (s.d.) prostate volume of 45.14 (9.15) g were treated. All patients were able to leave the hospital at a mean (s.d.) of 5 (2) h after the procedure. Mean (s.d.) follow-up was 100 (75.49) days. A significant reduction in IPPS was reported at 1 month (Po0.0001) and this was maintained through to 6 months. Significant durable improvements in Qmax, PVR and IPSS-QoL score were also reported for all patients (Po0.0001). No severe complications were reported, including any cases of urinary incontinence or significant irritative symptoms. None of the patients complained of a worsening of erectile function. This early experience in a pilot study with the 980 nm diode laser seems promising in the short-term and long-term outcome is being monitored.

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“…In many instances, this has been achieved by operating via natural body openings (eg, cystoscopy, transurethral resection, and ureteroscopy) [1,2]. Urologists have also pioneered novel techniques to address clinical situations where access through natural body openings was impossible, such as percutaneous stone surgery, laparoscopy, and robotics [3][4][5].…”

mentioning

confidence: 99%

Consensus Statement on Natural Orifice Transluminal Endoscopic Surgery and Single-Incision Laparoscopic Surgery: Heralding a New Era in Urology?

et al. 2008

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Complications of Transurethral Resection of the Prostate (TURP)—Incidence, Management, and Prevention

Cited by 1,070 publications

References 47 publications

Bipolar versus monopolar TURP: a prospective controlled study at two urology centers

Bipolar versus monopolar TURP: a prospective controlled study at two urology centers

Preliminary results on selective light vaporization with the side-firing 980 nm diode laser in benign prostatic hyperplasia: an ejaculation sparing technique

Consensus Statement on Natural Orifice Transluminal Endoscopic Surgery and Single-Incision Laparoscopic Surgery: Heralding a New Era in Urology?

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