Simple and Convenient Method for Assessing the Severity of Bleeding during Endoscopic Prostate Surgery and the Relationships between Its Corresponding Surgical Outcomes
Bleeding during endoscopic prostate surgery is often overlooked, and appropriate measurement techniques are rarely applied. We proposed a simple and convenient method for assessing the severity of bleeding during endoscopic prostate surgery. We determined the factors affecting bleeding severity and...
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| Format: | Article |
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MDPI AG
2023-02-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/4/592 |
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| author | Shu-Chuan Weng Shu-Han Tsao Han-Yu Tsai Horng-Heng Juang Yu-Hsiang Lin Phei-Lang Chang Chien-Lun Chen Chen-Pang Hou |
| author_facet | Shu-Chuan Weng Shu-Han Tsao Han-Yu Tsai Horng-Heng Juang Yu-Hsiang Lin Phei-Lang Chang Chien-Lun Chen Chen-Pang Hou |
| author_sort | Shu-Chuan Weng |
| collection | DOAJ |
| description | Bleeding during endoscopic prostate surgery is often overlooked, and appropriate measurement techniques are rarely applied. We proposed a simple and convenient method for assessing the severity of bleeding during endoscopic prostate surgery. We determined the factors affecting bleeding severity and whether they affected the surgical results and functional outcomes. Records from March 2019 to April 2022 were obtained for selected patients who underwent endoscopic prostate enucleation through either 120-W Vela XL Thulium:YAG laser or bipolar plasma enucleation of the prostate. The bleeding index was measured using the following equation: irrigant hemoglobin (Hb) concentration (g/dL) × irrigation fluid volume (mL)/preoperative blood Hb concentration (g/dL) × enucleated tissue (g). Our research revealed that patients who underwent surgery employing the thulium laser, those aged over 80 years, and those with a preoperative maximal flow rate (Qmax) of more than 10 cc/s experienced less surgical bleeding. The patients’ treatment outcomes differed depending on the severity of the bleeding. Enucleating prostate tissue was easier in the patients with less severe bleeding, who also had a lower risk of developing urinary tract infections and an improved Qmax. |
| first_indexed | 2024-03-11T08:57:05Z |
| format | Article |
| id | doaj.art-8c4d305e0585409bb6b78beebb4d0fa5 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T08:57:05Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-8c4d305e0585409bb6b78beebb4d0fa52023-11-16T20:00:06ZengMDPI AGDiagnostics2075-44182023-02-0113459210.3390/diagnostics13040592Simple and Convenient Method for Assessing the Severity of Bleeding during Endoscopic Prostate Surgery and the Relationships between Its Corresponding Surgical OutcomesShu-Chuan Weng0Shu-Han Tsao1Han-Yu Tsai2Horng-Heng Juang3Yu-Hsiang Lin4Phei-Lang Chang5Chien-Lun Chen6Chen-Pang Hou7Department of Health and Management, Yuanpei University of Medical Technology, Hsinchu 330, TaiwanDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, TaiwanDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, TaiwanDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, TaiwanDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, TaiwanDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, TaiwanDepartment of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, TaiwanDepartment of Health and Management, Yuanpei University of Medical Technology, Hsinchu 330, TaiwanBleeding during endoscopic prostate surgery is often overlooked, and appropriate measurement techniques are rarely applied. We proposed a simple and convenient method for assessing the severity of bleeding during endoscopic prostate surgery. We determined the factors affecting bleeding severity and whether they affected the surgical results and functional outcomes. Records from March 2019 to April 2022 were obtained for selected patients who underwent endoscopic prostate enucleation through either 120-W Vela XL Thulium:YAG laser or bipolar plasma enucleation of the prostate. The bleeding index was measured using the following equation: irrigant hemoglobin (Hb) concentration (g/dL) × irrigation fluid volume (mL)/preoperative blood Hb concentration (g/dL) × enucleated tissue (g). Our research revealed that patients who underwent surgery employing the thulium laser, those aged over 80 years, and those with a preoperative maximal flow rate (Qmax) of more than 10 cc/s experienced less surgical bleeding. The patients’ treatment outcomes differed depending on the severity of the bleeding. Enucleating prostate tissue was easier in the patients with less severe bleeding, who also had a lower risk of developing urinary tract infections and an improved Qmax.https://www.mdpi.com/2075-4418/13/4/592prostateendoscopicthulium laserenucleationbleedinghematuria |
| spellingShingle | Shu-Chuan Weng Shu-Han Tsao Han-Yu Tsai Horng-Heng Juang Yu-Hsiang Lin Phei-Lang Chang Chien-Lun Chen Chen-Pang Hou Simple and Convenient Method for Assessing the Severity of Bleeding during Endoscopic Prostate Surgery and the Relationships between Its Corresponding Surgical Outcomes Diagnostics prostate endoscopic thulium laser enucleation bleeding hematuria |
| title | Simple and Convenient Method for Assessing the Severity of Bleeding during Endoscopic Prostate Surgery and the Relationships between Its Corresponding Surgical Outcomes |
| title_full | Simple and Convenient Method for Assessing the Severity of Bleeding during Endoscopic Prostate Surgery and the Relationships between Its Corresponding Surgical Outcomes |
| title_fullStr | Simple and Convenient Method for Assessing the Severity of Bleeding during Endoscopic Prostate Surgery and the Relationships between Its Corresponding Surgical Outcomes |
| title_full_unstemmed | Simple and Convenient Method for Assessing the Severity of Bleeding during Endoscopic Prostate Surgery and the Relationships between Its Corresponding Surgical Outcomes |
| title_short | Simple and Convenient Method for Assessing the Severity of Bleeding during Endoscopic Prostate Surgery and the Relationships between Its Corresponding Surgical Outcomes |
| title_sort | simple and convenient method for assessing the severity of bleeding during endoscopic prostate surgery and the relationships between its corresponding surgical outcomes |
| topic | prostate endoscopic thulium laser enucleation bleeding hematuria |
| url | https://www.mdpi.com/2075-4418/13/4/592 |
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