Objectives: to investigate the effectiveness and reliability of the combination of optical cystolithotripsy (OC) and transurethral prostatectomy (TURP) for the treatment of bladder calculi and obstructive benign prostates enlargement (BPE). Patients and methods: from September 1999 to December 2003, 63 patients who had bladder stones and BPE were treated with combined OC and TURP; 45 patients who had bladder stones with no infravesical obstruction were treated with OC alone. In the same period, the records of random selection of 561 patients with BPE were treated by TURP. The operative duration time, the length of hospital stay, the duration of urethral catheterization, outcome and complication of the procedures for each patient were reviewed. Results: The mean duration of surgery were significantly longer with combined OC and TURP than with OC or TURP alone (p<0.05), but not of hospital stay and urethral catheterization. Stones free rates were 100% after OC alone and combined OC and TURP. The postoperative average mean peak flow rates were 13.2 ml/s in the combined OC and TURP group and were 13.7 in the TURP alone group. The complication rates were 13.6% for the TURP procedure, 5% for the OC alone and 21% for the combined OC and TURP (p<0.05). Conclusion: Simultaneous treatment with OC and TURP did not change the effectiveness of these procedures, but caused additional morbidity.
Prostatectomy ; Transurethral Resection of Prostate

No abstract available.
Humans ; Transurethral Resection of Prostate

No abstract available.
Transurethral Resection of Prostate*

No abstract available.
Catheters* ; Transurethral Resection of Prostate*

After TURP, the symptom improved clinically with the mean international prostatic symptom score (IPPS) decreasing from 26 to 4 (84.6%). The mean average flow rate increased from 3 (range 2-7) before treatment to 13 (range 10-17) at after 3 months of follow up. The mean operative duration was 43.8 min (range 20-120). Most patients had their catheter removed within 48-72h and were discharged on the 3rd day after TURP. None of patients suffered a complication as TURP syndrome, urethral stenosis. Two serious heamorrhage (2.7%) required a blood transfusion. Six urinary tract infections were affected (8%).
Transurethral Resection of Prostate ; Prostate ; surgery

A clinical observation with particular attention to long-term complications was made on 29 patients with BPH who underwent prostatatic stent insertion. The mean time of prostatic stent indwelling was 11.1 months and the major long-term complications were encrustation with phosphatic deposits and granulomatous mucosal growing into the lumen of stents. These complications were usually necessary to remove the stents in order to deal with the problem satisfactorily. A prostatic stent seems to be of value in the treatment of BPH in patients unfit for surgery, but to be a definite management superior to TURP or open surgery its material and structural improvement should be taken place.
Humans ; Stents* ; Transurethral Resection of Prostate

100 patients (54 in U.B hospital, 46 in Pitea) underwent TURP using a solution 2% ethanol as irrigating water; an expired breath alcohol meter was used2 to monitor ethanol in the patients breath every 5 min. P-fH6 was assessed before and after TURP in 99 patients. Other markers of hemolysis were also evaluated in the Swedish group. Result: 32 patients had detectable ethanol in their breath. There was a close correlation between the maximum ethanol reading during surgery and the level of p-fHb after TURP (r=0.90, p<0.001).
Hemolysis ; Transurethral Resection of Prostate ; surgery

No abstract available.
Prostatic Hyperplasia* ; Transurethral Resection of Prostate*

From January 1981 to December 1981, a program of blood loss measurement was undertaken to monitor the actual loss of blood resulting from transurethral prostatic resection. An accurate measurement of blood loss was obtained by Hemoglobincyanide method, a colorimetric determination of hemoglobin in the irrigating fluid, and the measured losses were correlated with several related factors. Followings were the results: 1. Blood loss ranged from 40 to 546 ml and its mean was 170 ml. 2. Blood loss averaged 22.2 ml per gram of tissue resected, and 2.4 ml per minute of resection time. 3. A statistically significant positive interrelationship was found among operative blood loss, weight of tissue resected and resection time. 4. Hemoglobincyanide method was simple enough to be used routinely.
Transurethral Resection of Prostate ; Weight Loss

PURPOSE: Transurethral resection of the prostate (TURP) is the most commonly performed surgical treatment in patients with benign prostatic hyperplasia (BPH). However, the indications of TURP are still controversial, especially in cases with a small prostate. To determine the efficacy of TURP in patients with a small prostate, we reviewed 138 patients who had undergone TURP. MATERIALS AND METHODS: Sixty-six patients with BPH under 30gm (Group I), and seventy-two with BPH over 30gm (Group II) were evaluated using the International Prostate Symptom Score (IPSS) and urine flow rates before and after the TURP. RESULTS: The urine flow rates were significantly improved after the TURP in Group II. The IPSS was also significantly improved after the TURP in both groups. The residual urine volume of both groups was significantly decreased after the TURP. CONCLUSIONS: Although TURP is usually performed in patients with a big prostate, our data shows that a TURP could also be available in patients with BPH under 30gm after several objective studies and with the desire of patients.
Humans ; Prostate ; Prostatic Hyperplasia* ; Transurethral Resection of Prostate*