Transurethral Resection of Prostate (TURP) and Vesicolithotomy for Large Bladder Stone in Single Session: The Third World Perspective
Liaqat Ali, Asiya Hassan, Nasir Orakzai, Muhammad Shahzad, Ihsanullah Khan, Kifayat Tariq Department of Urology, Institute of Kidney Diseases HMC Peshawar, Peshawar, PakistanCorrespondence: Liaqat AliInstitute of Kidney Diseases HMC Peshawar, Phase 4, Hayatabad Medical Complex, Peshawar, Khyber Pukh...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-11-01
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| Series: | Research and Reports in Urology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/transurethral-resection-of-prostate-turp-and-vesicolithotomy-for-large-peer-reviewed-article-RRU |
| _version_ | 1811293299171917824 |
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| author | Ali L Hassan A Orakzai N Shahzad M Khan I Tariq K |
| author_facet | Ali L Hassan A Orakzai N Shahzad M Khan I Tariq K |
| author_sort | Ali L |
| collection | DOAJ |
| description | Liaqat Ali, Asiya Hassan, Nasir Orakzai, Muhammad Shahzad, Ihsanullah Khan, Kifayat Tariq Department of Urology, Institute of Kidney Diseases HMC Peshawar, Peshawar, PakistanCorrespondence: Liaqat AliInstitute of Kidney Diseases HMC Peshawar, Phase 4, Hayatabad Medical Complex, Peshawar, Khyber Pukhtunkhwa, PakistanTel +92-91-9217462Email liaqat_99@yahoo.comObjective: To study the effectiveness and safety of combined transurethral resection of prostate (TURP) and open vesicolithotomy in patients with benign prostatic hyperplasia and massive vesical calculi in a single session.Methods: A descriptive study conducted at the Institute of Kidney and Diseases, Peshawar Pakistan from March 2013 till December 2019. In total, 43 patients were selected by nonprobability conventional sampling. We included patients with occluding enlarged prostate size of 30– 60g and bladder stones of more than 35 mm which was not amenable to cystolitholapaxy or cystolithotripsy. Conventional TURP followed by formal vesicolithotomy was performed in all patients in a single session. All the preoperative, perioperative and postoperative data were documented on structured Proforma. The data analysis was done on SPSS.Results: The average age of the patients included was 65 ± 7.5 years. Mean size of prostate was 45.5± 6.8 g and mean stone size was 38.4± 4.2 mm. The majority of patients [60.4% (n=26)] presented with refractory urinary retention. On average the operation time was 66.3± 5.5 minutes. The mean resected volume of prostate was 23.5± 6.8g and the average hospital stay was 5.5± 1.2 days. Mean trial of removal of catheter was 5± 0.6 days. The trial of removal of catheter was successful in all patients. Significant improvement in maximum flow and average flow was recorded in all patients (p = 0.001). On average, the complication rate noted was 6.9% (n = 3). There was no need for blood transfusion. No mortality was recorded in the study.Conclusion: The combined TURP and open vesicolithotomy in a single session is an efficacious, safe and viable treatment modality for large bladder calculi secondary to moderately enlarged prostate.Keywords: bladder outlet obstruction, benign prostatic hyperplasia, urinary bladder stone, transurethral resection of prostate, TURP |
| first_indexed | 2024-04-13T04:59:22Z |
| format | Article |
| id | doaj.art-e640e1ecbf8742f69dfaf2a66ec64f97 |
| institution | Directory Open Access Journal |
| issn | 2253-2447 |
| language | English |
| last_indexed | 2024-04-13T04:59:22Z |
| publishDate | 2020-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Research and Reports in Urology |
| spelling | doaj.art-e640e1ecbf8742f69dfaf2a66ec64f972022-12-22T03:01:23ZengDove Medical PressResearch and Reports in Urology2253-24472020-11-01Volume 1254755458918Transurethral Resection of Prostate (TURP) and Vesicolithotomy for Large Bladder Stone in Single Session: The Third World PerspectiveAli LHassan AOrakzai NShahzad MKhan ITariq KLiaqat Ali, Asiya Hassan, Nasir Orakzai, Muhammad Shahzad, Ihsanullah Khan, Kifayat Tariq Department of Urology, Institute of Kidney Diseases HMC Peshawar, Peshawar, PakistanCorrespondence: Liaqat AliInstitute of Kidney Diseases HMC Peshawar, Phase 4, Hayatabad Medical Complex, Peshawar, Khyber Pukhtunkhwa, PakistanTel +92-91-9217462Email liaqat_99@yahoo.comObjective: To study the effectiveness and safety of combined transurethral resection of prostate (TURP) and open vesicolithotomy in patients with benign prostatic hyperplasia and massive vesical calculi in a single session.Methods: A descriptive study conducted at the Institute of Kidney and Diseases, Peshawar Pakistan from March 2013 till December 2019. In total, 43 patients were selected by nonprobability conventional sampling. We included patients with occluding enlarged prostate size of 30– 60g and bladder stones of more than 35 mm which was not amenable to cystolitholapaxy or cystolithotripsy. Conventional TURP followed by formal vesicolithotomy was performed in all patients in a single session. All the preoperative, perioperative and postoperative data were documented on structured Proforma. The data analysis was done on SPSS.Results: The average age of the patients included was 65 ± 7.5 years. Mean size of prostate was 45.5± 6.8 g and mean stone size was 38.4± 4.2 mm. The majority of patients [60.4% (n=26)] presented with refractory urinary retention. On average the operation time was 66.3± 5.5 minutes. The mean resected volume of prostate was 23.5± 6.8g and the average hospital stay was 5.5± 1.2 days. Mean trial of removal of catheter was 5± 0.6 days. The trial of removal of catheter was successful in all patients. Significant improvement in maximum flow and average flow was recorded in all patients (p = 0.001). On average, the complication rate noted was 6.9% (n = 3). There was no need for blood transfusion. No mortality was recorded in the study.Conclusion: The combined TURP and open vesicolithotomy in a single session is an efficacious, safe and viable treatment modality for large bladder calculi secondary to moderately enlarged prostate.Keywords: bladder outlet obstruction, benign prostatic hyperplasia, urinary bladder stone, transurethral resection of prostate, TURPhttps://www.dovepress.com/transurethral-resection-of-prostate-turp-and-vesicolithotomy-for-large-peer-reviewed-article-RRUbladder outlet obstructionbenign prostatic hyperplasiaurinary bladder stonetransurethral resection of prostate (turp). |
| spellingShingle | Ali L Hassan A Orakzai N Shahzad M Khan I Tariq K Transurethral Resection of Prostate (TURP) and Vesicolithotomy for Large Bladder Stone in Single Session: The Third World Perspective Research and Reports in Urology bladder outlet obstruction benign prostatic hyperplasia urinary bladder stone transurethral resection of prostate (turp). |
| title | Transurethral Resection of Prostate (TURP) and Vesicolithotomy for Large Bladder Stone in Single Session: The Third World Perspective |
| title_full | Transurethral Resection of Prostate (TURP) and Vesicolithotomy for Large Bladder Stone in Single Session: The Third World Perspective |
| title_fullStr | Transurethral Resection of Prostate (TURP) and Vesicolithotomy for Large Bladder Stone in Single Session: The Third World Perspective |
| title_full_unstemmed | Transurethral Resection of Prostate (TURP) and Vesicolithotomy for Large Bladder Stone in Single Session: The Third World Perspective |
| title_short | Transurethral Resection of Prostate (TURP) and Vesicolithotomy for Large Bladder Stone in Single Session: The Third World Perspective |
| title_sort | transurethral resection of prostate turp and vesicolithotomy for large bladder stone in single session the third world perspective |
| topic | bladder outlet obstruction benign prostatic hyperplasia urinary bladder stone transurethral resection of prostate (turp). |
| url | https://www.dovepress.com/transurethral-resection-of-prostate-turp-and-vesicolithotomy-for-large-peer-reviewed-article-RRU |
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