Surgical outcomes of endoscopic enucleation of the prostate in community aging males with or without preoperative urinary retention.
Int Urol Nephrol
; 56(8): 2513-2519, 2024 Aug.
Article
em 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 ANDMETHODS:
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.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Hiperplasia Prostática
/
Retenção Urinária
/
Endoscopia
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article