MP3-11 RESULTS OF TRANS URETHRAL ENUCLEATION AND RESECTION OF PROSTATE (TUERP) USING UNIPOLAR RESECTOSCOPE: A COST EFFECTIVE NEW TECHNIQUE!

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology I1 Apr 2015MP3-11 RESULTS OF TRANS URETHRAL ENUCLEATION AND RESECTION OF PROSTATE (TUERP) USING UNIPOLAR RESECTOSCOPE: A COST EFFECTIVE NEW TECHNIQUE! Muhammad Salam, Jahangir Kabir, Ehetesham Haque, Faisal Islam, Ghazi Shahinul Islam, and Ibrahim Kaisar Muhammad SalamMuhammad Salam More articles by this author , Jahangir KabirJahangir Kabir More articles by this author , Ehetesham HaqueEhetesham Haque More articles by this author , Faisal IslamFaisal Islam More articles by this author , Ghazi Shahinul IslamGhazi Shahinul Islam More articles by this author , and Ibrahim KaisarIbrahim Kaisar More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.114AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To review the results of 219 TUERP procedures performed with Unipolar Resectoscope for the large prostate greater than 60 gram. TUERP is a minimally invasive surgical treatment for benign prostatic hyperplasia with 60 gram and above. The procedure is all the way similar to Holmium Yag Laser (HoLEP) enucleation of prostate with out any extra cost. METHODS A total of 219 patients with benign prostatic hyperplasia with bladder outflow obstruction and prostate volume >60 gm were prospectively randomized and enrolled in this study. The study was conducted from Jan 1, 2010 to December 31, 2012. All patients underwent TUERP with Unipolar Resectoscope. Demographic, intraoperative, and immediate postoperative data were recorded. Patients were also contacted by telephone or mailed surveys for documentation of long-term results. RESULTS The mean age was 65.5 years (range 45 to 91) and mean procedure time was 56.6 minutes (range 25 to 173), respectively. The mean specimen weight was 68.2 g (range 45 to 226 grams), 9 (4.10%) patients were diagnosed with adeno carcinoma of prostate. The mean hospital stay was 3.1 days. The rate of tissue clearance was 2.3 gram/min. Three patients required postoperative transfusions (1.36 %). No deaths, major complications (myocardial infarction or pulmonary embolism), or transurethral resection syndrome episodes occurred. Intraoperative complications consisted of three capsular perforations (1.5.%). Of 219 patients, 164 (74.88%) provided follow-up data for delayed complications, including three clot retention episodes (1.36%), five urethral strictures (3.65%) and 12 patients requiring re-catheterization (5.47%). Mean IPSS was reduced from 22 to mean IPSS to12, mean Qmax 7 was improved to mean Qmax 15ml/sec. Mean PVR was reduced from 138 (range 0–500ml) ml to mean PVR 60 (range 0- 125ml) at 12 months. The cost of TUERP was similar to TURP approximately US $ 500.00 compared to US$2500 for HoLEP. CONCLUSIONS TUERP using Unipolar Resectoscope can be performed with minimal complication risks and blood loss The procedure can be completed with out any extra cost as it is truly a modification of conventional gold standard TURP. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e22-e23 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Muhammad Salam More articles by this author Jahangir Kabir More articles by this author Ehetesham Haque More articles by this author Faisal Islam More articles by this author Ghazi Shahinul Islam More articles by this author Ibrahim Kaisar More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...