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Surgical outcomes of endoscopic enucleation of the prostate in community aging males with or without preoperative urinary retention.
Hsu, Tung-Shiun; Weng, Shu-Chuan; Lin, Yu-Hsiang; Chen, Chien-Lun; Tsao, Shu-Han; Tsai, Han-Yu; Juang, Horng-Heng; Chang, Phei-Lang; Hou, Chen-Pang.
Afiliación
  • Hsu TS; Department of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan.
  • Weng SC; School of Medicine, Chang Gung University, Taoyuan, 333, Taiwan.
  • Lin YH; Department of Health and Management, Yuanpei University of Medical Technology, Hsinchu, 330, Taiwan.
  • Chen CL; Bachelor Degree Program of Senior Health and Management, Yuanpei University of Medical Technology, Hsinchu, 330, Taiwan.
  • Tsao SH; Department of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan.
  • Tsai HY; School of Medicine, Chang Gung University, Taoyuan, 333, Taiwan.
  • Juang HH; Department of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan.
  • Chang PL; Department of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan.
  • Hou CP; Department of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, 333, Taiwan.
Int Urol Nephrol ; 56(8): 2513-2519, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38564078
ABSTRACT

OBJECTIVES:

This study aims to investigate the surgical outcomes of endoscopic enucleation of the prostate in older males with or without preoperative urinary retention (UR). MATERIAL AND

METHODS:

We conducted a study on selected patients with symptomatic benign prostatic hyperplasia (BPH) who underwent either thuliumYAG laser (vela XL) prostate enucleation (ThuLEP) or bipolar plasma enucleation of the prostate (B-TUEP) at the geriatric urology department of our institution. The studied patients were categorized into two groups, namely the UR group and the non-UR group, on the basis of whether they experienced UR in the 1 month preceding their surgery. Their clinical outcomes following prostate endoscopic surgery were evaluated and analyzed.

RESULTS:

Our results revealed comparable outcomes for operation time, length of hospital stay, percentage of tissue removed, re-catheterization rate, and urinary tract infection rate within the 1 month between the B-TUEP and ThuLEP surgery groups, regardless of UR history. However, the non-UR B-TUEP group experienced more blood loss relative to the non-UR ThuLEP group (P = .004). Notably, patients with UR exhibited significantly greater changes in IPSS total, IPSS voiding, and prostate-specific antigen values relative to those without UR.

CONCLUSIONS:

Both ThuLEP and B-TUEP were effective in treating BPH-related bladder outlet obstruction. Our study identified more pronounced changes in IPSS total, IPSS voiding, and prostate-specific antigens within the UR group. Moreover, the rate of postoperative UR in this group was not higher than that observed in the non-UR group. Our study also revealed that the presumed benefits of laser surgery in reducing blood loss were less pronounced for patients with UR.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hiperplasia Prostática / Retención Urinaria / Endoscopía Límite: Aged / Aged80 / Humans / Male / Middle aged Idioma: En Revista: Int Urol Nephrol Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hiperplasia Prostática / Retención Urinaria / Endoscopía Límite: Aged / Aged80 / Humans / Male / Middle aged Idioma: En Revista: Int Urol Nephrol Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Países Bajos