Urethral strictures after bipolar transurethral resection of prostate may be linked to slow resection rate

Guan Hee Tan; Shamsul Azhar Shah; Nurayub Md Ali; Eng Hong Goh; Praveen Singam; Christopher Chee Kong Ho; Zulkifli Md Zainuddin

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자료유형: 학술저널

저자정보: Guan Hee Tan (Universiti Kebangsaan Malaysia) Shamsul Azhar Shah (Universiti Kebangsaan Malaysia) Nurayub Md Ali (Universiti Kebangsaan Malaysia) Eng Hong Goh (Universiti Kebangsaan Malaysia) Praveen Singam (Universiti Kebangsaan Malaysia) Christopher Chee Kong Ho (Universiti Kebangsaan Malaysia) Zulkifli Md Zainuddin (Universiti Kebangsaan Malaysia)

저널정보: 대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.58 No.3

발행연도: 2017.1

수록면: 186 - 191 (6page)

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Purpose: This study aimed to determine the urethral stricture (US) rate and identify clinical and surgical risk factors associated with US occurrence after transurethral resection of the prostate using the bipolar Gyrus PlasmaKinetic Tissue Management System (PK-TURP). Materials and Methods: This was an age-matched case-control study of US occurrence after PK-TURP. Retrospective data were collected from the hospital records of patients who had a minimum of 36 months of follow-up information. Among the data collected for analysis were prostate-specific antigen level, estimated prostate weight, the amount of prostate resected, operative time, history of urinary tract infection, previous transurethral resection of the prostate, and whether the PK-TURP was combined with other endourological procedures. The resection rate was calculated from the collected data. Univariate and multivariate analyses were performed to identify clinical and surgical risk factors related to US formation. Results: A total of 373 patients underwent PK-TURP between 2003 and 2009. There were 13 cases of US (3.5%), and most of them (10 of 13, 76.9%) presented within 24 months of surgery. Most of the US cases (11 of 13, 84.6%) occurred at the bulbar urethra. Multivariable logistic regression analyses identified slow resection rate as the only risk factor significantly associated with US occurrence. Conclusions: The US rate of 3.5% after PK-TURP in this study is comparable to contemporary series. A slow resection rate seems to be related to US occurrence. This should be confirmed by further studies; meanwhile, we must be mindful of this possibility when operating with the PK-TURP system.

참고문헌 (25)

참고문헌 신청

Tang Y / 2014 / Bipolar transurethral resection versus monopolar transurethral resection for benign prostatic hypertrophy: a systematic review and metaanalysis / J Endourol 28:1107~1114

Mamoulakis C / 2009 / Bipolar versus monopolar transurethral resection of the prostate: a systematic review and meta-analysis of randomized controlled trials / Eur Urol 56:798~809

Rassweiler J / 2006 / Complications of transurethral resection of the prostate (TURP)--incidence, management, and prevention / Eur Urol 50:969~979

Kaplan SA / 2008 / Transurethral resection of the prostate--is our gold standard still a precious commodity? / J Urol 180:15~16

Reich O / 2006 / Techniques and long-term results of surgical procedures for BPH / Eur Urol 49:970~978

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