Blood Loss During Transurethral Resection of the Prostate as Measured by the Hemocue Photometer

Ekengren, Jan; Hahn, Robert G.

doi:10.3109/00365599309182284

Cited by 76 publications

(42 citation statements)

References 16 publications

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“…However, TURP is rarely performed as day surgery, as peri-and postoperative complications may require special attention. 4,5 Bipolar TURP has theoretical advantages that have to be further evaluated. A number of small studies with limited follow-up have been conducted without showing any clinically relevant differences.…”

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confidence: 99%

Complications and Clinical Outcome 18 Months After Bipolar and Monopolar Transurethral Resection of the Prostate

Fagerström

Nyman

Hahn

2011

Journal of Endourology

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Purpose: To compare bipolar resection with the conventional monopolar transurethral resection of the prostate (TURP) with respect to peri-and postoperative complications and long-term outcome. Patients and Methods: Patients with consecutive benign prostatic hyperplasia needing surgery (n = 185) from the hospital's waiting list were randomized to TURP using either a bipolar or a monopolar system. Peri-and postoperative parameters were monitored, complications were registered, and timed micturition/International Prostate Symptom Score (TM/IPSS) forms were collected at 3 and 6 weeks and at 6 and 18 months. Results: Bipolar surgery was followed by a 16% to 20% higher percentage of the patients reporting ongoing improvement (fractional IPSS change > 2) at 3 and 6 weeks after the surgery ( p < 0.05). There were fewer readmissions in the bipolar group than in the monopolar (5 vs. 13, p < 0.05). No differences between the groups with respect to hospital stay and catheter duration was recorded. Bipolar and monopolar TURP resulted in marked and sustained improvements of IPSS, bother score, and TM. Conclusions: Bipolar TURP, using the transurethral resection in saline (TURis) system, resulted in significantly fewer postoperative readmissions, faster postoperative recovery, and equally long-lasting good results in TM/ IPSS and bother score, as in monopolar TURP.

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confidence: 99%

Complications and Clinical Outcome 18 Months After Bipolar and Monopolar Transurethral Resection of the Prostate

Fagerström

Nyman

Hahn

2011

Journal of Endourology

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“…Professor Hahn et al reported 480 articles of which >340 articles are on the TURP syndrome investigating every aspect of the syndrome confirming the physiological [31][32][33] and pathological changes reported by other authors [34][35][36][37]. Hahn reported on fluid and electrolytes dynamics [38], effect of over-hydration on cardiac muscle [39] and other tissues [40], effect on renal function [41] and compared Glycine to Mannitol.…”

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confidence: 72%

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2018

SMOAJ

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“…Jan Eken Gren and Robert G. Hahn, 7 there was a strong correlation between operating time and blood loss (r = 0.72; P < 0.0001).…”

Section: Gland Size and Calculated Blood Lossmentioning

confidence: 94%

Estimation of Blood Loss and Factors Influencing Blood Loss in Transurethral Resection of Prostate: A Prospective Study

Vetrichandar¹,

B²

2016

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BACKGROUNDTransurethral resection of the prostate remains the gold standard treatment of BPH. Though, the mortality of TURP has decreased to less than 1%, the significant morbidity of the bleeding complications still persists. Hence, blood losses must be replaced promptly to ensure an optimal blood volume and oxygen transport. The aim of this study is to study the factors influencing blood loss during TURP. MATERIALS AND METHODSThis is a prospective study on patients with BPH treated with transurethral resection of prostate at Kilpauk Medical College and Government Royapettah Hospital between January 2012 and February 2013. Patient who require surgery because of severe symptoms or retention of urine secondary to BPH were included in this study. Total number of patients included in the study is 40. Informed consent was obtained from all patients. RESULTSOut of multiple variables analysed in 40 patients, it is concluded from our study that the extent of blood loss associated with TURP is multifactorial and it is impossible to measure the effects of single factor (e.g. local vascularity) while controlling all others. The 'P' value was significant for the weight of resected tissue and longer operative time. Hence, a meticulously performed TURP with reasonable speed and attention to details is the way forward in reducing perioperative blood loss. CONCLUSIONThe extent of blood loss associated with TURP is multifactorial and it is impossible to measure the effects of single factor (e.g. local vascularity) while controlling all others. Of the measured factors, the weight of resected tissue and longer operative time are clearly most important factors which significantly increase the blood loss. Hence, a meticulously performed TURP with reasonable speed and attention to details is the way forward in reducing perioperative blood loss.

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Blood Loss During Transurethral Resection of the Prostate as Measured by the Hemocue Photometer

Cited by 76 publications

References 16 publications

Complications and Clinical Outcome 18 Months After Bipolar and Monopolar Transurethral Resection of the Prostate

Complications and Clinical Outcome 18 Months After Bipolar and Monopolar Transurethral Resection of the Prostate

Untitled

Estimation of Blood Loss and Factors Influencing Blood Loss in Transurethral Resection of Prostate: A Prospective Study

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