[40] Day surgery prostate resection by bipolar photovaporisation using the transurethral resection in saline (TURis) system: First experience in Africa
Objective: To prospectively evaluate the efficacy, safety and postoperative complications of prostate resection for benign prostate hypertrophy (BPH) by bipolar photovaporisation using the transurethral resection in saline (TURis) system (BPV) in a day surgery setting. Methods: Over a 21-month perio...
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Formato: | article |
Lenguaje: | EN |
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Taylor & Francis Group
2018
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Acceso en línea: | https://doaj.org/article/ebaefdbb5ded4fe8b36748b3a71eb705 |
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Sumario: | Objective: To prospectively evaluate the efficacy, safety and postoperative complications of prostate resection for benign prostate hypertrophy (BPH) by bipolar photovaporisation using the transurethral resection in saline (TURis) system (BPV) in a day surgery setting. Methods: Over a 21-month period, 520 patients who fulfilled the selection criteria were recruited to have day surgery prostate resection using BPV. Preoperative International Prostate Symptoms Score (IPSS) and urine flow data were obtained in every patient. Perioperatively, we measured prostate resection time, weight of resected tissue and occurrence of any complications. Bladder residual content and duration of transurethral drainage were measured postoperatively. Results: The mean (range) prostate tissue weight was 51 (45–80) g. The mean (range) operative duration was 45 (35–70) min. No conversions and no major complications occurred in any cases. The transurethral catheter was removed in 110 cases before discharge and in 410 cases the following day. All cases left hospital the same day. All patients had noticeable improvement in IPSS and maximum urinary flow rate. Conclusion: BPV of BPH in selected patients can be carried out safely as a day care procedure and has beneficial outcomes for patients and services. |
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