No abstract available.
Transurethral Resection of Prostate*

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

No abstract available.
Humans ; Transurethral Resection of Prostate

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

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

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

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

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

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

PURPOSE: Prostate volume(PV) has been known to be poorly correlated with other clinical parameters used to assess benign prostate hyperplasia (BPH), including international prostate symptom score(IPSS), peak flow rate(Qmax) and amount of postvoid residuals(PVR). The purpose of this study was to determine if the parameters of prostate volume including PV, transition volume, transitional zone index (TZI) and residual prostatic volume ratio(RPVR) correlated well with other clinical parameters before and after transurethral resection of prostate(TURP). MATERIALS AND METHODS: 31 men with symptomatic BPH were evaluated using IPSS, Qmax before and after TURP and the parameters of prostate volume were determined by transrectal ultrasonography(TRUS). The clinical outcome was evaluated by the difference(Delta) in IPSS, Qmean and Qmax before and 3 months after TURP. RESULTS: PV was not correlated with DeltaIPSS and DeltaQmax, but transition volume(r=0.394, p=0.034) and TZI(r=0.368, p=0.049) were significantly correlated with DeltaQmax. There were negative correlations between the RPVR and DeltaIPSS and DeltaQmax(r=-0.449, -0.385, p=0.011, 0.033). CONCLUSIONS: TRUS is a useful tool for estimating prostate weight before surgery of BPH. Transition volume, TZI and RPVR could be useful parameters to predict the IPSS and Qmax after TURP based with IPSS and Qmax before TURP. The smaller the RPVR after TURP, the better the clinical outcome.
Humans ; Hyperplasia ; Male ; Prostate* ; Transurethral Resection of Prostate*