Early postoperative outcome of bipolar transurethral enucleation and resection of the prostate

Cho, Chak‐Lam; Leung, Clarence L H; Chan, Wayne Kwun‐Wai; Chu, Ringo Wing‐Hong; Law, In‐Chak

doi:10.12809/hkmj144457

Cited by 5 publications

(17 citation statements)

References 19 publications

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“…The absence of enucleation time in bipolar TURP did not lead to a shorter operative time. The enucleation time was less size dependent, varying from 5 to 30 min, despite the variation of prostate size among patients in our series . However, the resection time was prostate‐size dependent.…”

Section: Discussioncontrasting

confidence: 65%

“…Both bipolar TUERP and bipolar TURP were safe for the treatment of large prostates. The complication rates of both groups compared favourably with most series in the literature . It is of note that serious complications can occur in the surgical treatment of large prostates, and one patient required admission to the intensive care unit due to sepsis.…”

Section: Discussioncontrasting

confidence: 53%

“…The more complete removal of adenoma in bipolar TUERP was supported by a significantly lower serum PSA level and TRUS volume at 3 months’ postoperatively (Table ). An impressive 92.2 and 81.5 per cent decrease in serum PSA and TRUS volume was reported in the bipolar TUERP group, which is higher than the result we previously reported in another study . This can be explained by the larger prostate size in our present series, signifying a higher proportion of enucleated prostatic adenoma compared to the volume of the remaining peripheral zone.…”

Section: Discussionmentioning

confidence: 86%

“…The use of a morcellator is eliminated, as the subtotally enucleated adenoma is resected into chips by the loop electrode. The familiarity of most endourologists to the transurethral electrocautery surgical system might help shorten the learning curve of adopting the enucleative technique . There are a few studies in the literature comparing bipolar enucleation and bipolar resection techniques, mainly in medium‐sized prostates .…”

Section: Discussionmentioning

confidence: 99%

“…Our technique of bipolar TUERP has been previously described in detail. 10 The technique was first described by Professor Chun-Xiao Liu at Zhujiang Hospital of Southern Medical University (Guangzhou, China). 11 The surgical capsule plane was first identified after an incision just proximal to the verumontanum.…”

Section: Methodsmentioning

confidence: 99%

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Bipolar transurethral enucleation and resection of the prostate versus bipolar transurethral resection of the prostate for prostates larger than 80 g: Comparison of early postoperative outcome

et al. 2017

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Aim The aim of the present study was to compare the safety and early postoperative outcomes of bipolar transurethral enucleation and resection of the prostate (TUERP) and transurethral resection of the prostate (TURP) in patients with prostates larger than 80 g. Patients and Methods Between January 2014 and December 2016, 41 and 61 patients had bipolar TUERP and bipolar TURP performed at our unit for the treatment of prostates larger than 80 g. All patients were evaluated preoperatively by digital rectal examination, transrectal ultrasonography and laboratory studies, including measurement of haemoglobin and prostate‐specific antigen levels. Patients were reassessed postoperatively at 3 months. Results The preoperative parameters between bipolar TUERP and TURP were comparable. Bipolar TUERP is more efficient in tissue removal, with more tissue retrieved per minute of theatre time (0.73 g/min vs 0.64 g/min, P = 0.022). The hospitalization time between the groups was comparable. Bipolar TUERP achieved a lower serum prostate‐specific antigen level (1 ng/mL vs 1.8 ng/mL, P < 0.001), lower transrectal ultrasonography volume (18.3 cm3 vs 23.8 cm3, P < 0.001) and higher peak flow rate (23.1 mL/s vs 16.9 mL/s, P = 0.026) compared with bipolar TURP at 3 months postoperatively. Postoperative complications due to urinary tract infection were more common in the bipolar TURP group, while the readmission rate due to transient haematuria was higher among bipolar TUERP patients. The transfusion rate was low in both groups, and postoperative urethral stricture was uncommon. Conclusions Bipolar TUERP is a safe technique for the surgical treatment of large prostates. More complete removal of adenoma can be achieved without an increase in theatre time. Bipolar TUERP results in better early postoperative functional outcomes in terms of higher peak flow rate compared with bipolar TURP. The complication rate is not increased with bipolar TUERP.

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Section: Discussioncontrasting

confidence: 65%

Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Bipolar transurethral enucleation and resection of the prostate versus bipolar transurethral resection of the prostate for prostates larger than 80 g: Comparison of early postoperative outcome

et al. 2017

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Bipolar Transurethral Enucleation of Prostate with Button Electrode Versus Laser Enucleation for Benign Prostate Hyperplasia: A Single Surgeon Prospective Study

HuJu-Chuan

ChiuKun-Yuan

2016

Videourology

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Novel technique in the management of large prostate and bladder stones with bipolar transurethral enucleation of the prostate and open cystolithotomy

et al. 2016

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Aim:The surgical management of a large prostate in the presence of large or multiple bladder stones still poses a challenge to urologists. The traditional approach by open prostatic adenomectomy and cystolithotomy carries significant morbidities. However, endoscopic procedure might not be feasible to deal with both conditions in a single procedure, despite advances in surgical techniques and instrumentation. We propose a novel method to manage a large prostate together with significant bladder stone load in a single operation by a combined endoscopic and open approach. Patients and Methods: Three patients had bipolar transurethral enucleation of the prostate (TUEP) and open cystolithotomy performed at our unit from September 2013 to January 2016. The surgical technique and perioperative outcomes are summarized in the present study. Results: The mean age of the patients was 77.3 years. Bipolar TUEP was performed, with a mean pathological specimen weight of 114 g retrieved. All bladder stones were successfully removed by open cystolithotomy. The mean operating time was 158.3 min. Haemoglobin dropped by 2.27 g/dL on average. No transfusion was required. Bladder irrigation was stopped on postoperative day 2. All patients were weaned off the catheter successfully 5-10 days after the operation. Conclusions:Bipolar TUEP and open cystolithotomy is a safe option in managing large prostate and bladder stones in a single procedure.

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Early postoperative outcome of bipolar transurethral enucleation and resection of the prostate

Cited by 5 publications

References 19 publications

Bipolar transurethral enucleation and resection of the prostate versus bipolar transurethral resection of the prostate for prostates larger than 80 g: Comparison of early postoperative outcome

Bipolar transurethral enucleation and resection of the prostate versus bipolar transurethral resection of the prostate for prostates larger than 80 g: Comparison of early postoperative outcome

Bipolar Transurethral Enucleation of Prostate with Button Electrode Versus Laser Enucleation for Benign Prostate Hyperplasia: A Single Surgeon Prospective Study

Novel technique in the management of large prostate and bladder stones with bipolar transurethral enucleation of the prostate and open cystolithotomy

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