Predictors of reoperation after transurethral resection of the prostate in a diverse, urban academic centre

Loloi, Justin; Wang, Sarah; Labagnara, Kevin; Plummer, Melissa; Douglass, Laura Mae; Watts, Kara; Abraham, Nitya; Ohmann, Erin

doi:10.1177/20514158221132102

Cited by 2 publications

(1 citation statement)

References 24 publications

(30 reference statements)

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“…They recommend optimising diabetes control prior to TURP reduces risk of reoperation. [20] Although all our patients improved postoperatively, but these studied factors can predict the degree of postoperative improvement and the bene t from TURP in uncontrolled diabetic patients.…”

Section: Discussionmentioning

confidence: 77%

Factors predicting the outcome of transurethral resection of prostate in uncontrolled diabetic patients with significant post voiding residual urine: A cohort study

Abdelaziz¹,

Hammoud¹,

Abdelrasoul¹

et al. 2024

Preprint

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Background: Diabetics have significantly greater BPH severity of symptoms when compared with the healthy controls. This study aims to evaluate which diabetic patient with lower urinary tract symptoms due to BPH will benefit from trasurethral resection of prostate (TURP). Patients & Methods: A cohort study of 40 male diabetic patients presented with lower urinary tract symptoms (LUTS) and diagnosed to have benign prostatic hyperplasia (BPH) by ultrasound in the period between May 2021 and November 2022. All of them had post voiding residual urine(PVR) more than 300 cc, international prostate symptom score (IPSS) more than 8, and prostate volume less than 80 gm. We also excluded patients with other neurological diseases, stroke or history of endoscopic or surgical treatment of BPH. All patients were preoperatively evaluated by carful history taking to detect IPSS, quality of life ( Qol), preoperative abdomen-pelvic ultrasound, residual urine (PVR), urine, flowmetry and urodynamic study in all patients. Mono-polar transurethral resection of prostate (TURP) with spinal anesthesia was done in all patients by the same team. We monitored postoperative improvement by follow up the patients after 2 weeks, one month, three months, and one year. Filling cystometry and pressure flow study was done three months postoperatively. Results: The mean age was 66.1 ±7.4 years old. Twenty patients presented with refractory urine retention with the use of alpha blocker. The mean prostate volume by abdominal ultrasound was 69.3 ±8.9 with the mean residual urine 373.2 ±41.2. There was postoperative significant improvement in maximum flow (Q max), residual urine (PVRU), quality of life, IPSS and bladder contractility index (BCI). Correlation of these parameters improvement and preoperative factors showed significant correlation between this improvement and preoperative BCI, age, duration of diabetes, HbA1c, PVR, infected urine culture, preoperative IPSS and bladder capacity (P values ≤0.0001). No significant correlation with bladder capacity, prostate volume, sensations and detrusor over activities. Conclusions: TURP is safe and effective in treatment of obstructive urinary symptoms in BPH uncontrolled diabetic patients with large PVRU. Patients age, duration of diabetes, HbA1c, urinary infection, preoperative BCI and IPSS have a great effect on postoperative improvement.

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Section: Discussionmentioning

confidence: 77%

Factors predicting the outcome of transurethral resection of prostate in uncontrolled diabetic patients with significant post voiding residual urine: A cohort study

Abdelaziz¹,

Hammoud¹,

Abdelrasoul¹

et al. 2024

Preprint

View full text Add to dashboard Cite

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Reoperation after surgical treatment for benign prostatic hyperplasia: a systematic review

He,

Ding,

Niu

et al. 2023

Front. Endocrinol.

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ContextSurgical treatment is important for male lower urinary tract symptom (LUTS) management, but there are few reviews of the risks of reoperation.ObjectiveTo systematically evaluate the current evidence regarding the reoperation rates of surgical treatment for LUTS in accordance with current recommendations and guidelines.Evidence acquisitionEligible studies published up to July 2023, were searched for in the PubMed® (National Library of Medicine, Bethesda, MD, USA), Embase® (Elsevier, Amsterdam, the Netherlands), and Web of Science™ (Clarivate™, Philadelphia, PA, USA) databases. STATA® (StataCorp LP, College Station, TX, USA) software was used to conduct the meta-analysis. Random-effects models were used to calculate the pooled incidences (PIs) of reoperation and the 95% confidence intervals (CIs).Evidence synthesisA total of 119 studies with 130,106 patients were included. The reoperation rate of transurethral resection of the prostate (TURP) at 1, 2, 3, and 5 years was 4.0%, 5.0%, 6.0%, and 7.7%, respectively. The reoperation rate of plasma kinetic loop resection of the prostate (PKRP) at 1, 2, 3, and 5 years was 3.5%, 3.6%, 5.7%, and 6.6%, respectively. The reoperation rate of holmium laser enucleation of the prostate (HoLEP) at 1, 2, 3, and 5 years was 2.4%, 3.3%, 5.4%, and 6.6%, respectively. The reoperation rate of photoselective vaporization of the prostate (PVP) at 1, 2, 3, and 5 years was 3.3%, 4.1%, 6.7%, and 7.1%, respectively. The reoperation rate of surgery with AquaBeam® at 1, 2, 3, and 5 years was 2.6%, 3.1%, 3.0%, and 4.1%, respectively. The reoperation rate of prostatic artery embolization (PAE) at 1, 2, 3, and 5 years was 12.2%, 20.0%, 26.4%, and 23.8%, respectively. The reoperation rate of transurethral microwave thermotherapy (TUMT) at 1, 2, 3, and 5 years was 9.9%, 19.9%, 23.3%, and 31.2%, respectively. The reoperation rate of transurethral incision of the prostate (TUIP) at 5 years was 13.4%. The reoperation rate of open prostatectomy (OP) at 1 and 5 years was 1.3% and 4.4%, respectively. The reoperation rate of thulium laser enucleation of the prostate (ThuLEP) at 1, 2, and 5 years was 3.7%, 7.7%, and 8.4%, respectively.ConclusionOur results summarized the reoperation rates of 10 surgical procedures over follow-up durations of 1, 2, 3, and 5 years, which could provide reference for urologists and LUTS patients.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO, identifier CRD42023445780.

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Predictors of reoperation after transurethral resection of the prostate in a diverse, urban academic centre

Cited by 2 publications

References 24 publications

Factors predicting the outcome of transurethral resection of prostate in uncontrolled diabetic patients with significant post voiding residual urine: A cohort study

Factors predicting the outcome of transurethral resection of prostate in uncontrolled diabetic patients with significant post voiding residual urine: A cohort study

Reoperation after surgical treatment for benign prostatic hyperplasia: a systematic review

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