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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Urologia
2019
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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. |
format | Online Article Text |
id | pubmed-6909877 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Sociedade Brasileira de Urologia |
record_format | MEDLINE/PubMed |
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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