Contemporary monopolar and bipolar transurethral resection of the prostate: prospective assessment of complications using the Clavien system

Nunzio, Cosimo De; Lombardo, Riccardo; Autorino, Riccardo; Cicione, Antonio; Cindolo, Luca; Damiano, Rocco; Sio, Marco De; Falsaperla, Mario; Franco, Giorgio; Gacci, Mauro; Leonardo, Costantino; Presicce, Fabrizio; Tubaro, Andrea

doi:10.1007/s11255-013-0476-1

Cited by 25 publications

(20 citation statements)

References 25 publications

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“…16 In our series TURP was effective in improving LUTS and Q max with a low morbidity rate. The incidence of postoperative complications was 10.6% and few high-grade complications were observed.…”

Section: Resultssupporting

confidence: 47%

“…These data are in line with those reported in other studies evaluating TURP complications using the CCS. 16 We observed a more significant improvement in terms of LUTS and OAB scores in patients with PCI when compared to those without prostatic inflammatory infiltrates. Inflammation was associated with a 55% reduction risk of higher postoperative storage symptoms (sIPSS !4).…”

Section: Resultsmentioning

confidence: 49%

“…Resection time and all complications were recorded and classified according to the modified Clavien classification system (CCS), 16 which stratifies perioperative complications into five grades for both groups.…”

Section: Surgical Techniquementioning

confidence: 99%

See 2 more Smart Citations

Patients With Prostatic Inflammation Undergoing Transurethral Prostatic Resection Have a Larger Early Improvement of Storage Symptoms

Nunzio

Brassetti

Gacci

et al. 2015

Urology

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Section: Resultssupporting

confidence: 47%

Section: Resultsmentioning

confidence: 49%

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Patients With Prostatic Inflammation Undergoing Transurethral Prostatic Resection Have a Larger Early Improvement of Storage Symptoms

Nunzio

Brassetti

Gacci

et al. 2015

Urology

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“…Persistent nocturia was defined as ≥2 episodes per night. Postoperative complications were recorded and classified according to the modified Clavien classification system …”

Section: Methodsmentioning

confidence: 99%

Metabolic syndrome and smoking are associated with persistence of nocturia after transurethral resection of the prostate

Nunzio

Tema

Lombardo

et al. 2019

Neurourology and Urodynamics

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Aims The aim of our study was to evaluate the relationship between smoking, metabolic syndrome (MetS) and persistence of nocturia in patients with moderate/severe nocturia (nocturia episodes ≥2), lower urinary tract symptoms (LUTSs), and benign prostatic enlargement (BPE) undergoing transurethral resection of the prostate (TURP). Methods From 2015 onward, a consecutive series of patients with moderate/severe nocturia (nocturia episodes ≥2), LUTS, and BPE undergoing TURP were prospectively enrolled. Medical history, physical examination, and smoking status were recorded. MetS was defined according to Adult Treatment Panel III. Moderate/severe persistent nocturia after TURP was defined as nocturia episodes ≥2. Binary logistic regression analysis was used to evaluate the risk of persisting nocturia. Results One hundred two patients were enrolled with a median age of 70 years (interquartile range: 65/73). After TURP, moderate/severe nocturia was reported in 43 of 102 (42%) of the patients. Overall 40 of 102 (39%) patients presented a MetS, and out of them, 23 of 40 (58%) presented a moderate/severe persistent nocturia after TURP ( P = .001). Overall 62 of 102 (61%) patients were smokers, and out of them, 32 of 62 (52%) presented moderate/severe persistent nocturia after TURP ( P = .034). On multivariate analysis, prostate volume, MetS, and smoking were independent risk factors for moderate/severe persistent nocturia after TURP. Conclusion In our single‐center study, MetS and smoking increased the risk of moderate/severe persistent nocturia after TURP in patients with LUTS‐BPE. Although these results should be confirmed, and the pathophysiology is yet to be completely understood, counseling smokers and MetS patients about the risk of postoperative persistent nocturia is warranted.

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“…The authors proposed that transient hematuria, acute urinary retention, and UTI be considered grade I; hematuria requiring blood transfusion or UTI with bacteremia grade II; extraperitoneal fl uid collection grade III; and fi nally myocardial infarction, respiratory distress, and TUR syndrome as grade IV. These authors concluded that TURP is a procedure whose complications can mostly be categorized into low Clavien grades [ 37 ].…”

Section: Complicationsmentioning

confidence: 99%

Monopolar TURP

Branch¹,

Santos²,

Kearns³

2014

Treatment of Benign Prostatic Hyperplasia: Modern Alternative to Transurethral Resection of the Prostate

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Contemporary monopolar and bipolar transurethral resection of the prostate: prospective assessment of complications using the Clavien system

Abstract: A modified Clavien system can be considered a practical and easily applicable tool in grading postoperative complications in patients undergoing TURP. Our findings confirm that TURP is a safe procedure associated with minimal perioperative morbidity.

Cited by 25 publications

References 25 publications

Patients With Prostatic Inflammation Undergoing Transurethral Prostatic Resection Have a Larger Early Improvement of Storage Symptoms

Patients With Prostatic Inflammation Undergoing Transurethral Prostatic Resection Have a Larger Early Improvement of Storage Symptoms

Metabolic syndrome and smoking are associated with persistence of nocturia after transurethral resection of the prostate

Monopolar TURP

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