Does the Resected Prostatic Weight Ratio Affect the Clinical Outcomes in Men Who Underwent Bipolar Transurethral Resection of the Prostate?

Abstract

Bipolar transurethral resection of the prostate (TURP) is an effective and safe alternative to monopolar TURP. The aim of this study was to investigate the influence of resected prostate weight on the clinical outcome improvement after bipolar TURP for benign prostatic hyperplasia (BPH) patients. A total of 233 men with BPH who underwent bipolar TURP were included in this prospective study. International Prostate Symptom Score (I-PSS), quality of life (QoL), maximum flow rate (Qmax) and post-void residual urine volume (PVR) were assessed preoperatively and 3 months postoperatively. The relationship between the resected prostatic weight ratio (RPWR, %) and clinical improvement was investigated. Significant improvements in Qmax, PVR, I-PSS and QoL were found 3 months after operation, and Qmax was correlated with RPWR (r = 0.1521, P = .020). The RPWR was significantly higher in patients with postoperative Qmax > 20 mL/s (P = .049). Moreover, Qmax at 3-month follow-up was higher in patients with RPWR over 50% than patients with RPWR between 0-25% (P < .05). In addition, patients with larger prostate volume tended to gain better Qmax and I-PSS postoperatively (P < .05). The RPWR exerts an influence on postoperative Qmax, rather than I-PSS and QoL score, and patients with larger prostate volume tend to gain better clinical outcomes from bipolar TURP than those who with smaller prostates.