Long-Term Followup after Electrocautery Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia
Introduction. For decades, transurethral resection of the prostate (TURP) has been the “gold standard” operation for benign prostatic hyperplasia (BPH) but is based mainly on historic data. The historic data lacks use of validated measures and current TURP differs significantly from that performed 3...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2011/359478 |
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| author | F. Kallenberg T. A. Hossack H. H. Woo |
| author_facet | F. Kallenberg T. A. Hossack H. H. Woo |
| author_sort | F. Kallenberg |
| collection | DOAJ |
| description | Introduction. For decades, transurethral resection of the prostate (TURP) has been the “gold standard” operation for benign prostatic hyperplasia (BPH) but is based mainly on historic data. The historic data lacks use of validated measures and current TURP differs significantly from that performed 30 years ago. Methods. Men who had undergone TURP between 2001 and 2005 were reviewed. International prostate symptom score (IPSS), quality of life (QOL) and peak urinary flow rate
(Qmax), and postvoid residual (PVR)
were recorded. Operative details and
postoperative
complications were documented. Patients were then invited to
attend for repeat assessment. Results. 91
patients participated. Mean follow-up time was 70 months. Mean
follow-up results were IPSS—7; QoL—1.5; Qmax—23 mL/s; PVR—45 mL. These were an improvement from baseline of
67%, 63%, 187%, and 80%, respectively. Early
complication rates were low, with no blood transfusions, TUR
syndrome, or deaths occurring. Urethral stricture rate was higher
than anticipated at 14%. Conclusion. This
study shows modern TURP still produces durable improvement in
voiding symptoms which remains comparable with historic studies.
This study, however, found a marked drop in early complications but,
conversely, a higher than expected incidence of urethral
strictures. |
| format | Article |
| id | doaj-art-8b08082e8c944449b7385d11ae783750 |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-8b08082e8c944449b7385d11ae7837502025-02-03T01:13:10ZengWileyAdvances in Urology1687-63691687-63772011-01-01201110.1155/2011/359478359478Long-Term Followup after Electrocautery Transurethral Resection of the Prostate for Benign Prostatic HyperplasiaF. Kallenberg0T. A. Hossack1H. H. Woo2Department of Urology, AMC University, 1100 DD NH Amsterdam, The NetherlandsSydney Adventist Hospital, Sydney, NSW 2076, AustraliaSydney Adventist Hospital Clinical School, University of Sydney, P.O. Box 5017, Wahroonga, NSW 2076, AustraliaIntroduction. For decades, transurethral resection of the prostate (TURP) has been the “gold standard” operation for benign prostatic hyperplasia (BPH) but is based mainly on historic data. The historic data lacks use of validated measures and current TURP differs significantly from that performed 30 years ago. Methods. Men who had undergone TURP between 2001 and 2005 were reviewed. International prostate symptom score (IPSS), quality of life (QOL) and peak urinary flow rate (Qmax), and postvoid residual (PVR) were recorded. Operative details and postoperative complications were documented. Patients were then invited to attend for repeat assessment. Results. 91 patients participated. Mean follow-up time was 70 months. Mean follow-up results were IPSS—7; QoL—1.5; Qmax—23 mL/s; PVR—45 mL. These were an improvement from baseline of 67%, 63%, 187%, and 80%, respectively. Early complication rates were low, with no blood transfusions, TUR syndrome, or deaths occurring. Urethral stricture rate was higher than anticipated at 14%. Conclusion. This study shows modern TURP still produces durable improvement in voiding symptoms which remains comparable with historic studies. This study, however, found a marked drop in early complications but, conversely, a higher than expected incidence of urethral strictures.http://dx.doi.org/10.1155/2011/359478 |
| spellingShingle | F. Kallenberg T. A. Hossack H. H. Woo Long-Term Followup after Electrocautery Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia Advances in Urology |
| title | Long-Term Followup after Electrocautery Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia |
| title_full | Long-Term Followup after Electrocautery Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia |
| title_fullStr | Long-Term Followup after Electrocautery Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia |
| title_full_unstemmed | Long-Term Followup after Electrocautery Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia |
| title_short | Long-Term Followup after Electrocautery Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia |
| title_sort | long term followup after electrocautery transurethral resection of the prostate for benign prostatic hyperplasia |
| url | http://dx.doi.org/10.1155/2011/359478 |
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