Transurethral incision versus transurethral resection of the prostate in small prostatic adenoma: Long-term follow-up
Objectives: To evaluate the efficacy of transurethral incision of the prostate (TUIP) compared to transurethral resection of the prostate (TURP) in patients with small benign prostate adenoma, based on long-term follow-up. Patients and methods: We prospectively randomized 86 men with bladder outlet...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2012-03-01
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| Series: | African Journal of Urology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110570412000082 |
| _version_ | 1818202307677913088 |
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| author | O. Abd-El Kader K. Mohy El Den A. El Nashar A. Hussein E. Yehya |
| author_facet | O. Abd-El Kader K. Mohy El Den A. El Nashar A. Hussein E. Yehya |
| author_sort | O. Abd-El Kader |
| collection | DOAJ |
| description | Objectives: To evaluate the efficacy of transurethral incision of the prostate (TUIP) compared to transurethral resection of the prostate (TURP) in patients with small benign prostate adenoma, based on long-term follow-up.
Patients and methods: We prospectively randomized 86 men with bladder outlet obstruction symptoms caused by a prostate less than 30 g to undergo TUIP or TURP. The following preoperative parameters were evaluated: prostate weight, international prostate symptom score (IPSS), voided volume, maximum flow rate (Qmax) and post-void residual volume (PVR). Postoperatively the patients were followed up for 48 months and the following data were collected: morbidity, operative time, catheterization period, hospital stay, Qmax, IPSS, voided volume, PVR and reoperation rate.
Results: A total of 80 of the 86 patients completed the study: 40 patients in each group. The mean age of patients in group I (TURP) and group II (TUIP) was 63.6 and 66.2 years, respectively. Preoperative parameters in both groups showed no statistically significant differences with regard to uroflow parameters and prostate weight. At 48 months follow-up the mean voided volume increased from 161 ml to 356 ml in group I and from 161 ml to 341 ml in group II, Q-max increased from 8.4 to 18.4 in group I and 8.4 to 16.6 in group II, the IPSS decreased from 19 to 5.8 in group I and from 19 to 6.3 in group II and PVR decreased from 107 ml to 20 ml in Group I and from 109 ml to 21 ml in Group II (all differences statistically significant). Comparing groups I and II there were statistically significant differences with regard to mean operative time (60.0 versus 20.6 min), duration of catheterization (3.2 versus 2.2 days), hospital stay (3.7 versus 2.6 days), and the incidence of postoperative retrograde ejaculation (52.5% versus 22.5%) and erectile dysfunction (20% versus 7.5%).
Conclusion: TUIP and TURP for small prostatic adenoma of less than 30 g are equally effective in providing symptomatic improvement. TUIP is more advantageous with to side-effects, operative time, hospital stay and the duration of catheterization. |
| first_indexed | 2024-12-12T03:07:22Z |
| format | Article |
| id | doaj.art-3ed80dea05ba4364a2ab356eebf51b04 |
| institution | Directory Open Access Journal |
| issn | 1110-5704 |
| language | English |
| last_indexed | 2024-12-12T03:07:22Z |
| publishDate | 2012-03-01 |
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| record_format | Article |
| series | African Journal of Urology |
| spelling | doaj.art-3ed80dea05ba4364a2ab356eebf51b042022-12-22T00:40:29ZengSpringerOpenAfrican Journal of Urology1110-57042012-03-01181293310.1016/j.afju.2012.04.007Transurethral incision versus transurethral resection of the prostate in small prostatic adenoma: Long-term follow-upO. Abd-El Kader0K. Mohy El Den1A. El Nashar2A. Hussein3E. Yehya4Department of Urology, Faculty of Medicine, Suez Canal University, EgyptDepartment of Urology, Fayoum University, EgyptDepartment of Urology, Faculty of Medicine, Suez Canal University, EgyptDepartment of Urology, Faculty of Medicine, Suez Canal University, EgyptDepartment of Urology, Faculty of Medicine, Suez Canal University, EgyptObjectives: To evaluate the efficacy of transurethral incision of the prostate (TUIP) compared to transurethral resection of the prostate (TURP) in patients with small benign prostate adenoma, based on long-term follow-up. Patients and methods: We prospectively randomized 86 men with bladder outlet obstruction symptoms caused by a prostate less than 30 g to undergo TUIP or TURP. The following preoperative parameters were evaluated: prostate weight, international prostate symptom score (IPSS), voided volume, maximum flow rate (Qmax) and post-void residual volume (PVR). Postoperatively the patients were followed up for 48 months and the following data were collected: morbidity, operative time, catheterization period, hospital stay, Qmax, IPSS, voided volume, PVR and reoperation rate. Results: A total of 80 of the 86 patients completed the study: 40 patients in each group. The mean age of patients in group I (TURP) and group II (TUIP) was 63.6 and 66.2 years, respectively. Preoperative parameters in both groups showed no statistically significant differences with regard to uroflow parameters and prostate weight. At 48 months follow-up the mean voided volume increased from 161 ml to 356 ml in group I and from 161 ml to 341 ml in group II, Q-max increased from 8.4 to 18.4 in group I and 8.4 to 16.6 in group II, the IPSS decreased from 19 to 5.8 in group I and from 19 to 6.3 in group II and PVR decreased from 107 ml to 20 ml in Group I and from 109 ml to 21 ml in Group II (all differences statistically significant). Comparing groups I and II there were statistically significant differences with regard to mean operative time (60.0 versus 20.6 min), duration of catheterization (3.2 versus 2.2 days), hospital stay (3.7 versus 2.6 days), and the incidence of postoperative retrograde ejaculation (52.5% versus 22.5%) and erectile dysfunction (20% versus 7.5%). Conclusion: TUIP and TURP for small prostatic adenoma of less than 30 g are equally effective in providing symptomatic improvement. TUIP is more advantageous with to side-effects, operative time, hospital stay and the duration of catheterization.http://www.sciencedirect.com/science/article/pii/S1110570412000082TURPTUIPSmall prostate |
| spellingShingle | O. Abd-El Kader K. Mohy El Den A. El Nashar A. Hussein E. Yehya Transurethral incision versus transurethral resection of the prostate in small prostatic adenoma: Long-term follow-up African Journal of Urology TURP TUIP Small prostate |
| title | Transurethral incision versus transurethral resection of the prostate in small prostatic adenoma: Long-term follow-up |
| title_full | Transurethral incision versus transurethral resection of the prostate in small prostatic adenoma: Long-term follow-up |
| title_fullStr | Transurethral incision versus transurethral resection of the prostate in small prostatic adenoma: Long-term follow-up |
| title_full_unstemmed | Transurethral incision versus transurethral resection of the prostate in small prostatic adenoma: Long-term follow-up |
| title_short | Transurethral incision versus transurethral resection of the prostate in small prostatic adenoma: Long-term follow-up |
| title_sort | transurethral incision versus transurethral resection of the prostate in small prostatic adenoma long term follow up |
| topic | TURP TUIP Small prostate |
| url | http://www.sciencedirect.com/science/article/pii/S1110570412000082 |
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