Current Status of Transurethral Prostatectomy: A Korean Multicenter Study

Jang, Dong Gyu; Yoo, Changhee; Oh, Cheol Young; Kim, Sejoong; Kim, Sun Il; Kim, Chun Il; Kim, Hong Sup; Park, Jong Yeon; Seong, Do Hwan; Song, Yun Seob; Yang, Won Jae; Cho, In Rae; Cho, Sung Yong; Cheon, Sang Hyeon; Im, Hyoung June; Cho, Jin Seon

doi:10.4111/kju.2011.52.6.406

Cited by 8 publications

(10 citation statements)

References 16 publications

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“…This was significantly better than the outcomes of other minimally invasive procedures. Jang et al9 reported that, despite the availability of other treatment modalities for BPH, the annual number of TURP procedures performed for treatment of BPH increased during the mid 2000s. According to one study, following up on IPSS, after six years of TURP, the average decrease in IPSS was 14 points, representing a 67% reduction in symptoms 10.…”

Section: Discussionmentioning

confidence: 99%

Effect of Transurethral Resection of the Prostate on Storage Symptoms in Patients with Benign Prostatic Hyperplasia of Less than 30 ml

Kang

Kim

Seo

et al. 2013

World J Mens Health

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PurposeMany patients with benign prostatic hyperplasia (BPH) have not only voiding symptoms but also storage symptoms. Despite the many types of treatment that have been developed for BPH, storage symptoms persist. We conducted an assessment of the efficacy of transurethral resection of the prostate (TURP) and the change in the International Prostate Symptoms Score (IPSS) storage sub-score after the procedure according to prostate size in patients with BPH.Materials and MethodsMen aged 50 years or older who had BPH were enrolled in this study. 186 patients were divided into two groups according to prostate size measuring using transrectal ultrasonography: In group 1, prostate size was less than 30 ml (51 patients), and in group 2, prostate size was greater than 30 ml (135 patients). All of the patients underwent TURP. We examined whether the degree of change in the IPSS, voiding symptoms, storage symptoms, and quality of life (QoL) differed before and after TURP and according to prostate size.ResultsAfter three months of TURP, the subjects in both groups showed significant improvement in the IPSS, voiding symptoms, storage symptoms, QoL, and maximum flow rate (p<0.05). The scores for the IPSS, voiding symptoms, storage symptoms, and QoL of group 1 and 2 after three months of TURP were 16.36, 14.25 (p=0.233), 8.21, 8.24 (p=0.980), 8.11, 5.16 (p=0.014), 2.89, and 2.10 (p=0.030), respectively.ConclusionsTURP is an effective treatment for patients with BPH, regardless of prostate size. However, while the improvement in the storage symptoms of patients with a prostate size of less than 30 ml was not significant, it was in patients with a prostate size greater than 30 ml.

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Section: Discussionmentioning

confidence: 99%

Effect of Transurethral Resection of the Prostate on Storage Symptoms in Patients with Benign Prostatic Hyperplasia of Less than 30 ml

Kang

Kim

Seo

et al. 2013

World J Mens Health

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“…Previous studies have noted that mean rate of the symptoms recovery after TURP is 88%, ranging from 70% to 96%, so that Jang et al reported that among interventional treatments for BPH, TURP is increasing since 2000 (21). Moreover, Bozdar et al used IPSS to evaluate LTUS improvement in BPH patients subsequent to TURP.…”

Section: Discussionmentioning

confidence: 99%

Effect of preoperative prostate volume on the improvement of lower urinary tract symptoms in patients with benign prostatic hyperplasia undergoing transurethral resection of prostate

et al. 2019

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Introduction: Benign prostate hyperplasia, pathophysiology contributes to bladder outlet obstruction due to functional obstruction caused by gland size enlargement resulting in the lower urinary tract symptoms (LUTS). Objectives: To determine the correlation of the prostate volume with surgical outcomes and postoperative LUTS in patients with benign prostatic hyperplasia (BPH) undergoing transurethral resection of the prostate (TURP). Patients and Methods: Patients with BPH who were refractory for medical treatment enrolled in the study. Patients divided into three groups with attention to their prostate volume conducted by transabdominal ultrasonography. To evaluate patients' LUTS, the International Prostate Symptom Score (IPSS) questionnaire was filled for all patients preoperatively and during the first and third months follow up sessions.Results: In the current study, mean age of the patients was 66.92 ± 1.08 years. Of 111 patients, eight patients (7.2%) had prostate volume less than 30 cc, 59 patients (53.2%) had prostate volume between 30-60 cc, and 44 patients (39.6%) had prostate volume more than 60 cc. During first month postoperative, mean decrease in IPSS scores in patients with prostate volume less than 30 cc, prostate volume between 30-60 cc and prostate volume more than 30 cc were 27.72 ± 3.53, 27.32 ± 3.37 and 27.45 ± 2.87, respectively. The ANOVA test showed no significant difference between the groups (P= 0.93). Mean decrease in IPSS score during third month postoperative, had no significant difference between the three groups, too (P=0.71). Symptoms alleviation observed in 94.6% and 95.5% of the patients, during first and third months follow-up, respectively. Conclusion: There was no correlation between the IPSS scores decrease and patients' symptoms recovery and preoperative prostate volume in patients with BPH who underwent TRUP. ABSTRACTImplication for health policy/practice/research/medical education: IPSS scores cannot predict the patients' symptoms recovery and preoperative prostate volume in patients following TRUP. Please cite this paper as: Lotfi B, Farazhi S, Mohammadi Fallah M, Alizadeh M, Valizadeh R, Mohammad Rahimi S. Effect of preoperative prostate volume on the improvement of lower urinary tract symptoms in patients with benign prostatic hyperplasia undergoing transurethral resection of prostate. J Nephropathol. 2020;9(2):e18.

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“…TURP is still regarded as a standard surgical procedure for the treatment of LUTS secondary to BPO in prostates ≤80 mL [ 8 ]. Despite the growing popularity of pharmacotherapy during the last decades, surgical management of LUTS is still recommended in certain conditions, including the presence of refractory urinary retention, bladder stones, persistent gross hematuria, recurrent urinary tract infection, renal failure secondary to BPO, or ineffective conservative treatment [ 8 , 9 ], and provides good results. In a recent analysis of 20 contemporary RCTs published between 2005 and 2009 and a maximum follow–up of 5 years, TURP resulted in an improvement of the mean Qmax (162%), a reduction of the mean IPSS (–70%), and a reduction of the mean QoL score (–69%) and mean PVR (–77%) [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of complete transurethral resection of the prostate on symptoms, quality of life, and voiding function improvement

Milonas¹,

Verikaitė²,

Jievaltas³

2015

CEJU

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IntroductionTransurethral resection of the prostate (TURP) still remains the most popular surgical treatment for patients with lower urinary tract symptoms. However, in some patients, the improvement of symptoms after TURP is insufficient. The aim of our study was to evaluate the impact of the resected prostate tissue weight (RPTW) on the improvement of symptoms (IPSS), quality of life (QoL), and voiding function after TURP.Material and methodsThe study included 89 men who had undergone TURP in our institution. IPSS, QoL, post–voiding residual urine volume (PVR) and Qmax were recorded before the operation and six months after TURP. The total prostate volume (TPV) and transition zone volume (TZV) were measured before the operation by transrectal ultrasound. The impact of RPTW, RPTW/TZV ratio, and RPTW/TPV ratio were analyzed according to the efficacy of TURP.ResultsThe mean Qmax after TURP increased by 10.15 mL/s, IPSS decreased by 16.7 points, QoL increased by 3.57 points, and PVR decreased by 95.3 mL. According to Qmax, the treatment was effective in 74.2%, according to IPSS, in 91%, and according to QoL, in 74.2% of patients. The ROC analysis demonstrated that RPTW/TZV and RPTW/TPV ratios were the most significant predictors of obtaining favorable results. Survival analysis (life table) shows that in order to achieve 50% improvement on Qmax, QoL, and IPSS, more than 30–35% of TPV and more than 60% of the TZV should be removed.ConclusionsThe efficacy of the TURP at short term follow-up depends on the completeness of the resection.

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Current Status of Transurethral Prostatectomy: A Korean Multicenter Study

Cited by 8 publications

References 16 publications

Effect of Transurethral Resection of the Prostate on Storage Symptoms in Patients with Benign Prostatic Hyperplasia of Less than 30 ml

Effect of Transurethral Resection of the Prostate on Storage Symptoms in Patients with Benign Prostatic Hyperplasia of Less than 30 ml

Effect of preoperative prostate volume on the improvement of lower urinary tract symptoms in patients with benign prostatic hyperplasia undergoing transurethral resection of prostate

The effect of complete transurethral resection of the prostate on symptoms, quality of life, and voiding function improvement

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