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Changes in surgical strategy for patients with benign prostatic hyperplasia: 12-year single-center experience.

Shin YS, Park JK - Korean J Urol (2011)

Bottom Line: After surgery, resection weight and residual volume of the prostate were measured by TRUS.Also, the mean resection volume of the open prostatectomy group increased from 59.3 cc to 114.3 cc.The total volume and resection volume of the prostate increased annually, and the resection time decreased annually.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Chonbuk National University Medical School, Jeonju, Korea.

ABSTRACT

Purpose: The purpose of this study was to evaluate the annual changes in prostate variables and style of surgical treatment of patients with benign prostatic hyperplasia (BPH) over the past 12 years.

Materials and methods: The subjects were 918 patients (January 1999-November 2010) who were treated by either open prostatectomy or transurethral resection of prostate (TURP). Every year, the performance ratio between open prostatectomy and TURP was evaluated. Before surgery, total and transitional zone volumes of the prostate were measured by transrectal ultrasonography (TRUS). After surgery, resection weight and residual volume of the prostate were measured by TRUS.

Results: From 2001 through 2010, the performance ratio of TURP increased greatly from 89% to 97%. During 1999 to 2010, the total volume of the prostate increased from 40.0 cc to 55.0 cc in the TURP group and from 74.1 cc to 116.7 cc in the open prostatectomy group. During 1999 to 2010, the mean resection volume of the TURP group increased from 2.3 cc to 20.1 cc. Also, the mean resection volume of the open prostatectomy group increased from 59.3 cc to 114.3 cc. During 1999 to 2003, the resection time of the TURP group decreased from 72.9 minutes to 43.2 minutes.

Conclusions: During 1999 through 2010, the performance ratio between open prostatectomy vs TURP was high for TURP. The total volume and resection volume of the prostate increased annually, and the resection time decreased annually.

No MeSH data available.


Related in: MedlinePlus

The resection volume per minute of TURP. TURP: transurethral resection of prostate.
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Figure 3: The resection volume per minute of TURP. TURP: transurethral resection of prostate.

Mentions: From 2006 to 2010, the residual volume of the prostate after TURP decreased from 29.3 cc to 24.7 cc. From 1999 to 2010 the resection time of the TURP group decreased from 72.9 minutes to 43.2 minutes, which was significant difference (p=0.031) (Table 2). Also, the resection volume per minute of TURP increased from 0.03 cc to 0.46 cc (Fig. 3). There was no significant difference between postoperative Qmax and postoperative IPSS in 1999 to 2010. Urethral dilatation and internal urethrotomy to treat the urethral stricture gradually increased between 1999 and 2005 such as from 4.0% to 49.1%. Between 2005 and 2010, urethral strictures decreased from 49.1% to 9.2% (Fig. 4). There was no significant difference between the frequency of cystocatheterization and reoperation due to postoperative bleeding.


Changes in surgical strategy for patients with benign prostatic hyperplasia: 12-year single-center experience.

Shin YS, Park JK - Korean J Urol (2011)

The resection volume per minute of TURP. TURP: transurethral resection of prostate.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3065131&req=5

Figure 3: The resection volume per minute of TURP. TURP: transurethral resection of prostate.
Mentions: From 2006 to 2010, the residual volume of the prostate after TURP decreased from 29.3 cc to 24.7 cc. From 1999 to 2010 the resection time of the TURP group decreased from 72.9 minutes to 43.2 minutes, which was significant difference (p=0.031) (Table 2). Also, the resection volume per minute of TURP increased from 0.03 cc to 0.46 cc (Fig. 3). There was no significant difference between postoperative Qmax and postoperative IPSS in 1999 to 2010. Urethral dilatation and internal urethrotomy to treat the urethral stricture gradually increased between 1999 and 2005 such as from 4.0% to 49.1%. Between 2005 and 2010, urethral strictures decreased from 49.1% to 9.2% (Fig. 4). There was no significant difference between the frequency of cystocatheterization and reoperation due to postoperative bleeding.

Bottom Line: After surgery, resection weight and residual volume of the prostate were measured by TRUS.Also, the mean resection volume of the open prostatectomy group increased from 59.3 cc to 114.3 cc.The total volume and resection volume of the prostate increased annually, and the resection time decreased annually.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Chonbuk National University Medical School, Jeonju, Korea.

ABSTRACT

Purpose: The purpose of this study was to evaluate the annual changes in prostate variables and style of surgical treatment of patients with benign prostatic hyperplasia (BPH) over the past 12 years.

Materials and methods: The subjects were 918 patients (January 1999-November 2010) who were treated by either open prostatectomy or transurethral resection of prostate (TURP). Every year, the performance ratio between open prostatectomy and TURP was evaluated. Before surgery, total and transitional zone volumes of the prostate were measured by transrectal ultrasonography (TRUS). After surgery, resection weight and residual volume of the prostate were measured by TRUS.

Results: From 2001 through 2010, the performance ratio of TURP increased greatly from 89% to 97%. During 1999 to 2010, the total volume of the prostate increased from 40.0 cc to 55.0 cc in the TURP group and from 74.1 cc to 116.7 cc in the open prostatectomy group. During 1999 to 2010, the mean resection volume of the TURP group increased from 2.3 cc to 20.1 cc. Also, the mean resection volume of the open prostatectomy group increased from 59.3 cc to 114.3 cc. During 1999 to 2003, the resection time of the TURP group decreased from 72.9 minutes to 43.2 minutes.

Conclusions: During 1999 through 2010, the performance ratio between open prostatectomy vs TURP was high for TURP. The total volume and resection volume of the prostate increased annually, and the resection time decreased annually.

No MeSH data available.


Related in: MedlinePlus