C87 The efficiency of prostate biopsy in the diagnosis of prostate cancer. Could we improve the outcome of prostate biopsy in the diagnosis of prostate cancer?

Vida, A.O.; Maier, Anca; Szöllősi, Attila Gábor; Martha, Orsolya

doi:10.1016/s1569-9056(13)61935-1

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“…While some clinicians prefer to perform transurethral prostate resection after CUR installation, others perform TWOC (trial without catheter) as an intermediate step, thus avoiding unnecessary intervention. The observed correlation between emergency surgery and elevated mortality rates within 30 days, as well as a greater incidence of postoperative complications and the potential for prolonged catheterization to cause morbidity, has resulted in an increasing acceptance of the TWOC strategy [3,4]. Due to the limited availability of data and the lack of consensus in the literature, we conducted a prospective study to determine the most effective treatment strategy for successful TWOC and identify factors associated with recurrent CUR.…”

Section: Introductionmentioning

confidence: 99%

Elements for Trial Without Catheter (TWOC) Success in Benign Prostatic Hyperplasia Patients: Lessons We Have Learned

Ivanuta,

Puia,

Pricop

2023

Cureus

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Background: Benign prostatic hyperplasia (BPH) is a progressive disease that causes low urinary tract symptoms (LUTS). As prostatic volume grows, the prostatic urethra may become completely obstructed, resulting in full urine retention and acute hypogastric pain. Our research aimed to identify the optimal trial without catheter (TWOC) therapeutic approach and identify those factors that are associated with the recurrence of complete urinary retention (CUR). Methodology: The study enrolled with complete urinary retention and BPH were included in the study, after the insertion of a Foley catheter. The patients received tamsulosin 0.4 mg/day as an alpha-blocker treatment. In our investigation, patients who encountered complete urinary retention were randomly categorized into four groups based on the duration of urinary catheterization as determined by the attending urologist. Results: Maintaining the urethrovesical catheter for three to seven days was related to the highest success of spontaneous urination, which was statistically significant compared to other study groups. (p=0.0007). Age over 70 years, no alpha-blocker before the urinary retention episode, and prostatic volume exceeding 50 ml were all associated with decreased TWOC efficacy. We found the highest rates of spontaneous urination were after three to seven days of urinary catheterization. Conclusion: BPH and complete urine retention can be managed by TWOC in many cases. Several factors affect the test's efficacy. Prolonged urinary catheter maintenance over seven days, prostatic volume over 50 ml, and age over 70 years are poor prognostic indicators.

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Section: Introductionmentioning

confidence: 99%