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A new Surgical Technique: Transvesical Prostate Resection

OBJECTIVES: Surgical treatment is indicated in patients where medical therapy fails to prove beneficial or in patients who develop complications related with bladder outlet obstruction. In our study, we developed a new surgical technique which can be defined as Transvesical Resection of Prostate (TV...

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Detalles Bibliográficos
Autores principales: Türk, Hakan, Arslan, Erkan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Urologia 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6909877/
https://www.ncbi.nlm.nih.gov/pubmed/31408284
http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0488
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author Türk, Hakan
Arslan, Erkan
author_facet Türk, Hakan
Arslan, Erkan
author_sort Türk, Hakan
collection PubMed
description OBJECTIVES: Surgical treatment is indicated in patients where medical therapy fails to prove beneficial or in patients who develop complications related with bladder outlet obstruction. In our study, we developed a new surgical technique which can be defined as Transvesical Resection of Prostate (TVRP) without using the urethra. This method was previously described in our articles (1). MATERIALS AND METHODS: A 62-years-old male patient, using an alpha blocker agent for 5 years, reported increased discomfort with urination. His findings were as follows: PSA: 1.2 ng/dL, prostate volume: 45 cc, digital rectal examination: benign, IPSS: 30, QoL: 5, Qmax: 6, urine volume: 225 cc, post-mictional residue: 65 cc. Eventually the patient was informed and prostate resection decision was made. RESULTS: Suprapubic catheter was removed 1 day after surgery and the patient was discharged. Urethral catheter was removed 4 days after urine output became clear. No complications developed after the operation. At postoperative 1st month, Qmax was 22, urine volume was 260 cc, post-mictional residue was 40 cc, IPSS was 8, QoL was 1, and the pathology was benign prostate tissue. CONCLUSIONS: Urethral stricture is one of the most important postoperative complications of TURP. The incidence of urethral stricture is reported between 2.2% and 9.8% in different series (2–5). In this technique which we developed, urethra is not used and prostate is removed through the bladder, similar to open prostatectomies. For this reason, we suggest that it has an advantage over TURP, regarding urethral stricture development.
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spelling pubmed-69098772020-08-03 A new Surgical Technique: Transvesical Prostate Resection Türk, Hakan Arslan, Erkan Int Braz J Urol Video Section OBJECTIVES: Surgical treatment is indicated in patients where medical therapy fails to prove beneficial or in patients who develop complications related with bladder outlet obstruction. In our study, we developed a new surgical technique which can be defined as Transvesical Resection of Prostate (TVRP) without using the urethra. This method was previously described in our articles (1). MATERIALS AND METHODS: A 62-years-old male patient, using an alpha blocker agent for 5 years, reported increased discomfort with urination. His findings were as follows: PSA: 1.2 ng/dL, prostate volume: 45 cc, digital rectal examination: benign, IPSS: 30, QoL: 5, Qmax: 6, urine volume: 225 cc, post-mictional residue: 65 cc. Eventually the patient was informed and prostate resection decision was made. RESULTS: Suprapubic catheter was removed 1 day after surgery and the patient was discharged. Urethral catheter was removed 4 days after urine output became clear. No complications developed after the operation. At postoperative 1st month, Qmax was 22, urine volume was 260 cc, post-mictional residue was 40 cc, IPSS was 8, QoL was 1, and the pathology was benign prostate tissue. CONCLUSIONS: Urethral stricture is one of the most important postoperative complications of TURP. The incidence of urethral stricture is reported between 2.2% and 9.8% in different series (2–5). In this technique which we developed, urethra is not used and prostate is removed through the bladder, similar to open prostatectomies. For this reason, we suggest that it has an advantage over TURP, regarding urethral stricture development. Sociedade Brasileira de Urologia 2019-12-17 /pmc/articles/PMC6909877/ /pubmed/31408284 http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0488 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Video Section
Türk, Hakan
Arslan, Erkan
A new Surgical Technique: Transvesical Prostate Resection
title A new Surgical Technique: Transvesical Prostate Resection
title_full A new Surgical Technique: Transvesical Prostate Resection
title_fullStr A new Surgical Technique: Transvesical Prostate Resection
title_full_unstemmed A new Surgical Technique: Transvesical Prostate Resection
title_short A new Surgical Technique: Transvesical Prostate Resection
title_sort new surgical technique: transvesical prostate resection
topic Video Section
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6909877/
https://www.ncbi.nlm.nih.gov/pubmed/31408284
http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0488
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