Transurethral prostatectomy: Mortality and morbidity

Horninger, Wolfgang; Unterlechner, H.; Strasser, Hannes; Bartsch, Georg

doi:10.1002/(sici)1097-0045(199603)28:3<195::aid-pros6>3.0.co;2-e

Cited by 109 publications

(45 citation statements)

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“…However, the procedure has complications, such as blood loss, that need blood transfusion (up to 8%) and transurethral resection (TUR) syndrome (up to 2%) 6. The sharp cutting action using plasmakinetic electrovaporization and resection using a loop electrode (as in the Gyrus system) should prevent these complications, improving homeostasis during the procedure and reducing the risk of hyponatremia (normal saline instead of glycine was used as the irrigation fluid) 610–13. The bipolar electrosurgical equipment simultaneously vaporizes tissue during resection, which controls bleeding as it effectively and accurately seals all bleeding points 8101415.…”

Section: Discussionmentioning

confidence: 99%

“…The sharp cutting action using plasmakinetic electrovaporization and resection using a loop electrode (as in the Gyrus system) should prevent these complications, improving homeostasis during the procedure and reducing the risk of hyponatremia (normal saline instead of glycine was used as the irrigation fluid) 610–13. The bipolar electrosurgical equipment simultaneously vaporizes tissue during resection, which controls bleeding as it effectively and accurately seals all bleeding points 8101415. The plasmakinetic system, however, uses a smaller loop compared with the conventional TURP, which requires more strokes for every unit volume of prostate resected 916–18.…”

Section: Discussionmentioning

confidence: 99%

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A prospective, randomized clinical trial comparing bipolar plasma kinetic resection of the prostate versus conventional monopolar transurethral resection of the prostate in the treatment of benign prostatic hyperplasia

Ibrahim

Zainuddin

2009

Annals of Saudi Medicine

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BACKGROUND AND OBJECTIVE:For treatment of benign prostatic hyperplasia (BPH), Plasma Kinetic loop Resection of the Prostate (PKRP) is an alternative to conventional monopolar transurethral resection of prostate (TURP). We compared outcomes with the two treatments in a randomized trial.PATIENTS AND METHODS:Over a one-year period, we randomly assigned patients with an indication for surgery for BPH and who met inclusion criteria to treatment with either PKRP or TURP. We measured prostate volume by transrectal ultrasound, relief of bladder outlet obstruction, operative time, decline in serum sodium and hemoglobin, weight of resected prostatic chips, duration of catheterization and hospital stay. Patients were evaluated one month after discharge for obstructive symptoms. Complications were also recorded.RESULTS:Of 102 patients enrolled, 51 underwent PKRP and 51 underwent TURP. Relief of obstructive symptoms and mean operative time showed no statistically significant difference. The PKRP group had a smaller decline in hemoglobin than the TURP group (0.6 g/dL vs 1.8 g/dL, P=.01), a lower reduction in serum sodium levels (1.03 mmol/L vs 5.01 mmol/L, P=.01), a shorter catheterization time (37.2 hours versus 57.7 hours, P=.03) and a shorter hospital stay (1.5 days versus 2.6 days, P=.02). One patient in the bipolar PKRP group needed recatheterization versus four patients in the TURP group.CONCLUSION:PKRP reduces morbidity with an outcome similar to conventional monopolar TURP in the treatment of BPH.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A prospective, randomized clinical trial comparing bipolar plasma kinetic resection of the prostate versus conventional monopolar transurethral resection of the prostate in the treatment of benign prostatic hyperplasia

Ibrahim

Zainuddin

2009

Annals of Saudi Medicine

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“…The recently reported incidence is 0-0.25% in large studies [12]. Other authors reported a 30-day mortality incidence 0.2-0.8% [13].…”

Section: Discussionmentioning

confidence: 93%

Complications of Transurethral Resection of the Prostate

Pesha¹

2016

CMR

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Abstract:Benign prostatic hypertrophy can be treated by several therapeutic options including medical and surgical techniques. Among the surgical options, transurethral resection has a crucial role. Transurethral resection of the prostate (TURP) remains the standard surgical treatment for benign prostatic hypertrophy (BPH). This technique was the first minimally invasive procedure of the modern surgical practice remaining the most commonly procedure. During 2010-2015, 324 patients were enrolled in our study, recording all postoperative complications. Our paper emphasizes all the theoretical aspects of TURP's complications comparing to our data.

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“…Tiene una tasa de mortalidad entre 0,2-1,5% y una morbilidad en conjunto del 11,1% 25,26 con un porcentaje de reintervención del 6-13% 27 .…”

Section: ¿Sigue Siendo La Rtu Prostática Elunclassified

Papel actual de la fotovaporización prostática con Láser Greenlight HPS: Aspectos técnicos y revisión de la literatura

et al. 2009

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L a RTUp se considera el tratamiento quirúrgico de elección para los síntomas del tracto urinario inferior secundarios a HBP. Intentando disminuir las complicaciones asociadas a este procedimiento, pero manteniendo sus resultados a largo plazo, se han desarrollado distintas modalidades de tratamiento con distintos sistemas de creación de energía, la mayoría de ellos sin mucho éxito. Es el caso de la ablación transuretral con agujas (TUNA), microondas transuretrales (TUMT), coagulación intersticial por láser, láser de neodimio…Todas estas técnicas han demostrado un aceptable perfil de seguridad y eficacia a corto y medio plazo, pero el elevado porcentaje de pacientes con disconfort postoperatorio, así como unos malos resultados a largo plazo, ha hecho que la mayoría hayan caído en desuso.Disponemos actualmente de una técnica míni-mamente invasiva cuyos resultados parecen prometedores: la fotovaporización prostática (FVP) con láser Greenlight HPS 120W. Los primeros pasos con esta técnica fueron dados por Malek en la Clínica Mayo en 1998 1 utilizando un láser de 60W (la mitad de potencia que los actuales). Desde entonces numerosos estudios 2-4 han aportado datos que demuestran que se trata de una técnica con una tasa de complicaciones muy baja y unos excelentes resultados postoperatorios. Al mismo tiempo que ResumenLa fotovaporización prostática (FVP) con láser Greenlight HPS 120W es una de las modalidades para el tratamiento quirúrgico de la hiperplasia benigna de la próstata (HBP) más atractivas en la actualidad. Las características físicas propias de este láser le dotan de un excelente perfil de seguridad y eficacia, convirtiéndola en la técnica ideal para pacientes de alto riesgo quirúrgico o con anticoagulación/antiagregación activa. Además, la incuestionable disminución del tiempo de sondaje y de hospitalización con respecto a la resección transuretral de la próstata (RTUp), implica un postoperatorio inmediato mucho más cómodo para los pacientes.Hemos realizado una búsqueda bibliográfica en Medline/Pubmed, presentando en esta revisión los resultados de los estudios más recientes, así como las actuales técnicas quirúrgicas. También hemos revisado las limitaciones y aspectos controvertidos que se atribuyen a esta técnica en función de lo publicado en la literatura.Palabras clave: Hiperplasia benigna de próstata. Fotovaporización prostática. Láser Greenlight. Triborato de litio. Photoselective vaporization of the prostate with Laser Greenlight HPS: current role, technical aspects and review of the literature AbstractPhotoselective vaporization of the prostate with 120W HPS Greenlight laser is one of the most attractive modalities of surgical treatment for benign prostatic hyperplasia at present. The specific physical characteristics of this laser provides an excellent safety and effectiveness profile, making it the ideal technique for high-risk patients or patients ongoing oral anticoagulation. Moreover, the undeniable reduction of urethral catheterization time and hospital stay compared to transurethral resect...

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Transurethral prostatectomy: Mortality and morbidity

Cited by 109 publications

References 0 publications

A prospective, randomized clinical trial comparing bipolar plasma kinetic resection of the prostate versus conventional monopolar transurethral resection of the prostate in the treatment of benign prostatic hyperplasia

A prospective, randomized clinical trial comparing bipolar plasma kinetic resection of the prostate versus conventional monopolar transurethral resection of the prostate in the treatment of benign prostatic hyperplasia

Complications of Transurethral Resection of the Prostate

Papel actual de la fotovaporización prostática con Láser Greenlight HPS: Aspectos técnicos y revisión de la literatura

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