[14] A prospective study of transurethral bipolar resection and vaporisation of large prostate adenomas

Objective: To report our experience following the introduction of transurethral bipolar vapo-resection of large prostate adenomas and to evaluate it to the traditional techniques used to date in Algeria in the surgical treatment of large prostates. Methods: This was a prospective longitudinal study,...

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Autores principales:	Abdelhalim Chouakria, Abdelkrim Boulatrous, Pr Mohamed Malik Atoui, Samir Atik, Pr Mourad Nouacer, Sina Haiahem, Karim Atoui, Pr Abdelkrim Kadi, Pr Kheiredine Chettibi
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/a4eb798c23c44f98984c06fe08c76edf
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spelling	oai:doaj.org-article:a4eb798c23c44f98984c06fe08c76edf2021-12-02T12:02:04Z[14] A prospective study of transurethral bipolar resection and vaporisation of large prostate adenomas2090-598X10.1016/j.aju.2018.10.061https://doaj.org/article/a4eb798c23c44f98984c06fe08c76edf2018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301554https://doaj.org/toc/2090-598XObjective: To report our experience following the introduction of transurethral bipolar vapo-resection of large prostate adenomas and to evaluate it to the traditional techniques used to date in Algeria in the surgical treatment of large prostates. Methods: This was a prospective longitudinal study, conducted in our department, between December 2015 and September 2016, including 40 patients with a surgical indication for benign prostatic hyperplasia (BPH) with prostate volumes of >70 mL, consenting to the procedure. We evaluated functional parameters [International Prostate Symptom Score (IPSS)/quality of life (QoL) score, maximum urinary flow rate (Qmax)] pre- and postoperatively according to a quarterly schedule, surgical data (resection time, resected volume), as well as the duration of catheterisation and bleeding complications. Results: The mean (range) prostate volume in our series was 118.72 (70–254) mL and the indications were dominated by medical treatment failure and urinary retention, at 55% and 35%, respectively. The evaluation of the IPSS and QoL score showed a constant decrease from a median of 26 and 6 preoperatively to 1 and 0 at 15 months postoperatively, respectively. The median Qmax increased from 5.1 mL/s preoperatively to 14.9 mL/s at 15 months postoperatively. In all, 10% of the patients had postoperative clotting and two patients required surgical haemostasis. The average time to removal of the urinary catheter was 3 days. The average resection speed increased from 0.5 mL/min to 1.6 mL/min at maturity. Conclusion: The combination of resection and vaporisation in large adenomas seems to be effective according to our data, it does not require any particular training for an already established urologist and the investment seems reasonable and compatible in an economic context.Abdelhalim ChouakriaAbdelkrim BoulatrousPr Mohamed Malik AtouiSamir AtikPr Mourad NouacerSina HaiahemKarim AtouiPr Abdelkrim KadiPr Kheiredine ChettibiTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S8- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Abdelhalim Chouakria Abdelkrim Boulatrous Pr Mohamed Malik Atoui Samir Atik Pr Mourad Nouacer Sina Haiahem Karim Atoui Pr Abdelkrim Kadi Pr Kheiredine Chettibi [14] A prospective study of transurethral bipolar resection and vaporisation of large prostate adenomas
description	Objective: To report our experience following the introduction of transurethral bipolar vapo-resection of large prostate adenomas and to evaluate it to the traditional techniques used to date in Algeria in the surgical treatment of large prostates. Methods: This was a prospective longitudinal study, conducted in our department, between December 2015 and September 2016, including 40 patients with a surgical indication for benign prostatic hyperplasia (BPH) with prostate volumes of >70 mL, consenting to the procedure. We evaluated functional parameters [International Prostate Symptom Score (IPSS)/quality of life (QoL) score, maximum urinary flow rate (Qmax)] pre- and postoperatively according to a quarterly schedule, surgical data (resection time, resected volume), as well as the duration of catheterisation and bleeding complications. Results: The mean (range) prostate volume in our series was 118.72 (70–254) mL and the indications were dominated by medical treatment failure and urinary retention, at 55% and 35%, respectively. The evaluation of the IPSS and QoL score showed a constant decrease from a median of 26 and 6 preoperatively to 1 and 0 at 15 months postoperatively, respectively. The median Qmax increased from 5.1 mL/s preoperatively to 14.9 mL/s at 15 months postoperatively. In all, 10% of the patients had postoperative clotting and two patients required surgical haemostasis. The average time to removal of the urinary catheter was 3 days. The average resection speed increased from 0.5 mL/min to 1.6 mL/min at maturity. Conclusion: The combination of resection and vaporisation in large adenomas seems to be effective according to our data, it does not require any particular training for an already established urologist and the investment seems reasonable and compatible in an economic context.
format	article
author	Abdelhalim Chouakria Abdelkrim Boulatrous Pr Mohamed Malik Atoui Samir Atik Pr Mourad Nouacer Sina Haiahem Karim Atoui Pr Abdelkrim Kadi Pr Kheiredine Chettibi
author_facet	Abdelhalim Chouakria Abdelkrim Boulatrous Pr Mohamed Malik Atoui Samir Atik Pr Mourad Nouacer Sina Haiahem Karim Atoui Pr Abdelkrim Kadi Pr Kheiredine Chettibi
author_sort	Abdelhalim Chouakria
title	[14] A prospective study of transurethral bipolar resection and vaporisation of large prostate adenomas
title_short	[14] A prospective study of transurethral bipolar resection and vaporisation of large prostate adenomas
title_full	[14] A prospective study of transurethral bipolar resection and vaporisation of large prostate adenomas
title_fullStr	[14] A prospective study of transurethral bipolar resection and vaporisation of large prostate adenomas
title_full_unstemmed	[14] A prospective study of transurethral bipolar resection and vaporisation of large prostate adenomas
title_sort	[14] a prospective study of transurethral bipolar resection and vaporisation of large prostate adenomas
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/a4eb798c23c44f98984c06fe08c76edf
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[14] A prospective study of transurethral bipolar resection and vaporisation of large prostate adenomas

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