Is an adjustment by transurethral surgery simultaneously needed during the suprapubic open prostatectomy?
Purpose: To compare suprapubic open prostatectomy (SOP) and a novel SOP with transurethral adjustment of residual adenoma and bleeding (TURARAB) for large sized prostates. Methods: Between March 2010 and March 2014, 49 patients with symptomatic BPH (>100 g) were scheduled for SOP or SOP with TURA...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015-03-01
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| Series: | Prostate International |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2287888215000082 |
| _version_ | 1797762612460519424 |
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| author | Yu Seob Shin Li Tao Zhang Chen Zhao Jae Hyung You Jong Kwan Park |
| author_facet | Yu Seob Shin Li Tao Zhang Chen Zhao Jae Hyung You Jong Kwan Park |
| author_sort | Yu Seob Shin |
| collection | DOAJ |
| description | Purpose: To compare suprapubic open prostatectomy (SOP) and a novel SOP with transurethral adjustment of residual adenoma and bleeding (TURARAB) for large sized prostates.
Methods: Between March 2010 and March 2014, 49 patients with symptomatic BPH (>100 g) were scheduled for SOP or SOP with TURARAB. The patients were subdivided into two groups. In Group I, each patient underwent SOP. In Group II, each patient underwent SOP with TURARAB. Additional transurethral resection of residual adenoma and bleeding control were done through the urethra after enucleation of the prostate adenoma by SOP. Prior to intervention, all patients were analyzed by preoperative complete blood count, blood chemistry, prostate specific antigen, International Prostate Symptom Scores, and transrectal ultrasound of the prostate and uroflowmetry. SOP was performed by a suprapubic transvesical approach via a midline incision. The bladder neck mucosa was circularly incised to expose the prostate adenoma, and the plane between the adenoma and surgical capsule was developed by finger dissection. In addition, in Group II TURARAB was performed using Urosol. Postoperative outcome data were compared in the 1st month and 3rd month.
Results: There were no statistically significant differences in baseline characteristics between the two groups. Group I required a longer operative time than Group II. Blood transfusion during the operation was unnecessary due to the short amount of time available to control arterial bleeding in the prostatic fossa leading to a marked decrease in perioperative bleeding in Group II. Postoperative voiding function improved significantly in both groups.
Conclusions: Even for large prostate glands, our novel procedure appears to be an effective and safe operation to reduce operation time, bleeding, and complications. |
| first_indexed | 2024-03-12T19:30:52Z |
| format | Article |
| id | doaj.art-b7e958b6084446b5a1cbf3471b41419a |
| institution | Directory Open Access Journal |
| issn | 2287-8882 |
| language | English |
| last_indexed | 2024-03-12T19:30:52Z |
| publishDate | 2015-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Prostate International |
| spelling | doaj.art-b7e958b6084446b5a1cbf3471b41419a2023-08-02T04:36:16ZengElsevierProstate International2287-88822015-03-0131313410.1016/j.prnil.2015.02.007Is an adjustment by transurethral surgery simultaneously needed during the suprapubic open prostatectomy?Yu Seob Shin0Li Tao Zhang1Chen Zhao2Jae Hyung You3Jong Kwan Park4Department of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, Republic of KoreaDepartment of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, Republic of KoreaDepartment of Urology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, and Shanghai Institute of Andrology, Shanghai, ChinaDepartment of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, Republic of KoreaDepartment of Urology, Chonbuk National University Medical School, and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, Republic of KoreaPurpose: To compare suprapubic open prostatectomy (SOP) and a novel SOP with transurethral adjustment of residual adenoma and bleeding (TURARAB) for large sized prostates. Methods: Between March 2010 and March 2014, 49 patients with symptomatic BPH (>100 g) were scheduled for SOP or SOP with TURARAB. The patients were subdivided into two groups. In Group I, each patient underwent SOP. In Group II, each patient underwent SOP with TURARAB. Additional transurethral resection of residual adenoma and bleeding control were done through the urethra after enucleation of the prostate adenoma by SOP. Prior to intervention, all patients were analyzed by preoperative complete blood count, blood chemistry, prostate specific antigen, International Prostate Symptom Scores, and transrectal ultrasound of the prostate and uroflowmetry. SOP was performed by a suprapubic transvesical approach via a midline incision. The bladder neck mucosa was circularly incised to expose the prostate adenoma, and the plane between the adenoma and surgical capsule was developed by finger dissection. In addition, in Group II TURARAB was performed using Urosol. Postoperative outcome data were compared in the 1st month and 3rd month. Results: There were no statistically significant differences in baseline characteristics between the two groups. Group I required a longer operative time than Group II. Blood transfusion during the operation was unnecessary due to the short amount of time available to control arterial bleeding in the prostatic fossa leading to a marked decrease in perioperative bleeding in Group II. Postoperative voiding function improved significantly in both groups. Conclusions: Even for large prostate glands, our novel procedure appears to be an effective and safe operation to reduce operation time, bleeding, and complications.http://www.sciencedirect.com/science/article/pii/S2287888215000082Prostatic hyperplasiaResidual adenomaSuprapubic open prostatectomyTransurethral resection |
| spellingShingle | Yu Seob Shin Li Tao Zhang Chen Zhao Jae Hyung You Jong Kwan Park Is an adjustment by transurethral surgery simultaneously needed during the suprapubic open prostatectomy? Prostate International Prostatic hyperplasia Residual adenoma Suprapubic open prostatectomy Transurethral resection |
| title | Is an adjustment by transurethral surgery simultaneously needed during the suprapubic open prostatectomy? |
| title_full | Is an adjustment by transurethral surgery simultaneously needed during the suprapubic open prostatectomy? |
| title_fullStr | Is an adjustment by transurethral surgery simultaneously needed during the suprapubic open prostatectomy? |
| title_full_unstemmed | Is an adjustment by transurethral surgery simultaneously needed during the suprapubic open prostatectomy? |
| title_short | Is an adjustment by transurethral surgery simultaneously needed during the suprapubic open prostatectomy? |
| title_sort | is an adjustment by transurethral surgery simultaneously needed during the suprapubic open prostatectomy |
| topic | Prostatic hyperplasia Residual adenoma Suprapubic open prostatectomy Transurethral resection |
| url | http://www.sciencedirect.com/science/article/pii/S2287888215000082 |
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