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Transurethral resection of the prostate in 85+ patients: a retrospective, multicentre study
PURPOSE: To determine the safety and efficacy of transurethral resection of the prostate (TUR-P) in patients 85 years or older. METHODS: In this retrospective, multicentre study, patients equal or older than 85 years at the time of surgery (2015–2020) were included. Several pre-, peri- and postopera...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9712300/ https://www.ncbi.nlm.nih.gov/pubmed/36239811 http://dx.doi.org/10.1007/s00345-022-04179-w |
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author | Lotterstätter, Michael Seklehner, Stephan Wimpissinger, Florian Gombos, Jozsef Bektic, Jasmin Stolzlechner, Philipp Laimer, Sarah Herrmann, Thomas R. W. Madersbacher, Stephan Lusuardi, Lukas Sieberer, Manuela Ramesmayer, Christian |
author_facet | Lotterstätter, Michael Seklehner, Stephan Wimpissinger, Florian Gombos, Jozsef Bektic, Jasmin Stolzlechner, Philipp Laimer, Sarah Herrmann, Thomas R. W. Madersbacher, Stephan Lusuardi, Lukas Sieberer, Manuela Ramesmayer, Christian |
author_sort | Lotterstätter, Michael |
collection | PubMed |
description | PURPOSE: To determine the safety and efficacy of transurethral resection of the prostate (TUR-P) in patients 85 years or older. METHODS: In this retrospective, multicentre study, patients equal or older than 85 years at the time of surgery (2015–2020) were included. Several pre-, peri- and postoperative parameters were collected. The main outcome criterion was spontaneous voiding with a post-void residual (PVR) volume < 100 ml at dismission and at 12 months after surgery. RESULTS: One hundred sixty-eight patients (median age: 87 years, interquartile range [IQR]: 86–89) were recruited. The patients took on average 5.2 permanent medications (3–8), 107 (64%) were anticoagulated preoperatively and neurological co-morbidities were present in 29 (17%). The indication for surgery was recurrent urinary retention in 66.3% (n = 110) with a mean retention volume of 849 ml. The mean PVR volume of the remaining 35% was 146 ml. Surgery was successfully completed in all patients. A perioperative surgical revision had to be performed in 3% and 13 patients (7.7%) required blood transfusion. After catheter removal, 85% of patients were able to void spontaneously with a PVR < 100 ml, and 14.3% were dismissed with a catheter. Twelve months data were available for 93 patients (55%). Of this cohort, 78 (83.9%) were able to void spontaneously with a PVR < 100 ml, 12 (12.9%) were on permanent catheterization. One patient (0.6%) died perioperatively. The only significant factor associated with an unsuccessful outcome was the number of permanent medications (6.8 vs. 5.0, p = 0.005). CONCLUSION: This retrospective multicentre study documents the safety and efficacy of TURP (monopolar and bipolar) in the old-old cohort. |
format | Online Article Text |
id | pubmed-9712300 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-97123002022-12-02 Transurethral resection of the prostate in 85+ patients: a retrospective, multicentre study Lotterstätter, Michael Seklehner, Stephan Wimpissinger, Florian Gombos, Jozsef Bektic, Jasmin Stolzlechner, Philipp Laimer, Sarah Herrmann, Thomas R. W. Madersbacher, Stephan Lusuardi, Lukas Sieberer, Manuela Ramesmayer, Christian World J Urol Original Article PURPOSE: To determine the safety and efficacy of transurethral resection of the prostate (TUR-P) in patients 85 years or older. METHODS: In this retrospective, multicentre study, patients equal or older than 85 years at the time of surgery (2015–2020) were included. Several pre-, peri- and postoperative parameters were collected. The main outcome criterion was spontaneous voiding with a post-void residual (PVR) volume < 100 ml at dismission and at 12 months after surgery. RESULTS: One hundred sixty-eight patients (median age: 87 years, interquartile range [IQR]: 86–89) were recruited. The patients took on average 5.2 permanent medications (3–8), 107 (64%) were anticoagulated preoperatively and neurological co-morbidities were present in 29 (17%). The indication for surgery was recurrent urinary retention in 66.3% (n = 110) with a mean retention volume of 849 ml. The mean PVR volume of the remaining 35% was 146 ml. Surgery was successfully completed in all patients. A perioperative surgical revision had to be performed in 3% and 13 patients (7.7%) required blood transfusion. After catheter removal, 85% of patients were able to void spontaneously with a PVR < 100 ml, and 14.3% were dismissed with a catheter. Twelve months data were available for 93 patients (55%). Of this cohort, 78 (83.9%) were able to void spontaneously with a PVR < 100 ml, 12 (12.9%) were on permanent catheterization. One patient (0.6%) died perioperatively. The only significant factor associated with an unsuccessful outcome was the number of permanent medications (6.8 vs. 5.0, p = 0.005). CONCLUSION: This retrospective multicentre study documents the safety and efficacy of TURP (monopolar and bipolar) in the old-old cohort. Springer Berlin Heidelberg 2022-10-14 2022 /pmc/articles/PMC9712300/ /pubmed/36239811 http://dx.doi.org/10.1007/s00345-022-04179-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Lotterstätter, Michael Seklehner, Stephan Wimpissinger, Florian Gombos, Jozsef Bektic, Jasmin Stolzlechner, Philipp Laimer, Sarah Herrmann, Thomas R. W. Madersbacher, Stephan Lusuardi, Lukas Sieberer, Manuela Ramesmayer, Christian Transurethral resection of the prostate in 85+ patients: a retrospective, multicentre study |
title | Transurethral resection of the prostate in 85+ patients: a retrospective, multicentre study |
title_full | Transurethral resection of the prostate in 85+ patients: a retrospective, multicentre study |
title_fullStr | Transurethral resection of the prostate in 85+ patients: a retrospective, multicentre study |
title_full_unstemmed | Transurethral resection of the prostate in 85+ patients: a retrospective, multicentre study |
title_short | Transurethral resection of the prostate in 85+ patients: a retrospective, multicentre study |
title_sort | transurethral resection of the prostate in 85+ patients: a retrospective, multicentre study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9712300/ https://www.ncbi.nlm.nih.gov/pubmed/36239811 http://dx.doi.org/10.1007/s00345-022-04179-w |
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