Monopolar trans-urethral resection of prostate: our initial experience in a new African hospital with few resources

Tela, Usman Mohammed; Lawan, Abdu Mohammed; Olajide, Babatunde David

doi:10.18203/2349-2902.isj20204432

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…The average resection time in our series was approximately fifty-nine minutes. Reports from our region showed similar duration for TURP [7,14,18]. This is understandable as TURP is still gaining a foothold.…”

Section: Discussionsupporting

confidence: 67%

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Monopolar Transurethral Resection of the Prostate; Experience in a Tertiary Centre in Nigeria

Ofoha

Dakum

Akhaine

et al. 2021

JAMMR

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Aim and Objectives: To determine the perioperative, short-term success and complications of TURP. Study Design: Retrospective study. Place and Duration of Study: The study was carried out at the Division of Urology, Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria, from January 2017 to December 2020. Methodology: This was a retrospective study, where the records of men who had TURP and were followed up for a year were reviewed. The data included the patients’ age, size of the prostate gland (grams), duration of surgery(mins), blood transfusion, clot retention, length of catheterisation (silicon catheter) in days, hospital stay (days), postoperative infection, postoperative incontinence, re-operation, bladder neck stenosis, urethral stricture and TURP syndrome. Results: Forty-five patients who had TURP from January 2017 to December 2020 were studied. The patients mean age was 66.33±7.60. The mean prostate size was 60.76±20.26. The mean duration of surgery, catheter duration and hospital stay were 58.89±11.93, 3.56±1.44 and 4.38±2.10, respectively. The overall complication was 3.5%. Postoperative infection was the commonest complication (epididymo-orchitis 11.1% and urosepsis 2.2%). Other complications included clot retention 4.4%, TURP syndrome 2.2%, bladder neck stenosis 2.2% and urge incontinence 2.2%. There was no urethral stricture, re-operation or bladder rupture. No mortality was recorded. Conclusion: This study showed that most TURP complications were minor and within acceptable rates. Its attraction includes short hospital stay and short duration of catheterisation. Overall, TURP performed within our institution were generally safe and well-tolerated.

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Section: Discussionsupporting

confidence: 67%

“…Other studies have recorded low incidence of TURP syndrome, similar to the index study [13,17]. Of note is that similar studies in the region did not document TURP syndrome [7,18]. This can safely be attributed to adherence to sound surgical principles.…”

Section: Discussionsupporting

confidence: 60%

Monopolar Transurethral Resection of the Prostate; Experience in a Tertiary Centre in Nigeria

Ofoha

Dakum

Akhaine

et al. 2021

JAMMR

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“…Sterile water is easily prepared, affordable and very popular in Nigeria and beyond. [14][15][16][17] The 3 cases of post-TURP epididymorchitis were managed conservatively, while the case with uncontrolable haematuria during TURP was converted to open prostatectomy with satisfactory post operative conditions.…”

Section: Type Of Anaesthesiamentioning

confidence: 99%

Audit of lower urinary tract endoscopic procedures in Borno, North-Eastern Nigeria

et al. 2021

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Background: Endourology which includes lower urinary tract (LUT) endoscopy, is an important component of standard urological practice worldwide. The objective of our study was to audit the LUT endoscopic procedures performed in Borno, a state in north-eastern Nigeria and share our experience.Methods: We, retrospectively reviewed the Lower urinary Tract endoscopies performed in Borno state over 9 years, from January 2012 to December 2020. Data related to LUT endoscopies were extracted from the patients’ clinical notes and operation theatre registers of the 2 focused hospitals in Borno where endourology procedures were performed (University of Maiduguri Teaching Hospital and Royal specialist hospital maiduguri) and then analyzed. Urology patients who did not undergone LUT endoscopy were excluded.Results: We analyzed the data of total sum of 201 patients for the 2 hospitals, which represented the sample size for the study. Mean age of patients was 47.2years, with male to female ratio of 3.5:1. Bladder tumor with or without haematuria (31.3%) was the commonest indication for LUT endoscopy, seconded by removal of ureteric double J stents (23.4%). Urethrocystoscopy (74.0%) was the commonest procedure performed predominantly under local anaesthesia, for both diagnostic and therapeutic purposes.Conclusions: We reported LUT endoscopies in Borno which was commonly indicated in bladder tumors presenting with or without haematuria. Urethrocystoscopy is the commonest procedure. As we get more endourology equipment in the public hospital many of our patients will benefit from these minimally invasive procedures in both lower and upper urinary tract diseases.

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Outcome of Transurethral Resection of the Prostate (TURP) using 5% Dextrose Water as Irrigant

Amu,

Affusim,

Nnadozie

et al. 2023

Nigerian Journal of Clinical Practice

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Background: TURP remains the gold standard for simple prostatectomy presently. Different fluids have been used for irrigation while performing monopolar TURP. The choice of irrigation fluid depends on a lot of factors. Aim: We sought to find out if the outcome of monopolar TURP using 5% dextrose water in our setting compares with findings in other studies using different fluids as irrigation fluid in monopolar TURP. Materials and Methods: This was a prospective study of 220 patients who had monopolar TURP using 5% dextrose water as irrigation fluid from 2015 to 2020. Results: The study was completed by 220 patients. The mean age was 66.25 yrs. The mean weight of prostate was 53.2 g, and mean resected weight was 30.10 g using a mean irrigation volume of 45.35 liters, 5% dextrose water over a mean resection time of 66.08 mins. The mean changes in International Prostate Symptom Score/quality of life score (IPSS/QOLS) were statistically significant. Early complications recorded were postoperative hematuria with clot retention (1.4%), urinary tract infection (UTI) (13.2%), and secondary hemorrhage (10%). TURP syndrome was not recorded. Late complications seen within 2 years follow-up were transient urinary incontinence (6.4%), urethral stricture (4.1%), and bladder neck contracture (2.3%). There was no repeat TURP for residual adenoma within this period. Conclusion: TURP using 5% dextrose water has comparable outcomes to other irrigation fluids for monopolar TURP. It is a good alternative to any other irrigation fluid.

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Monopolar trans-urethral resection of prostate: our initial experience in a new African hospital with few resources

Cited by 3 publications

References 8 publications

Monopolar Transurethral Resection of the Prostate; Experience in a Tertiary Centre in Nigeria

Monopolar Transurethral Resection of the Prostate; Experience in a Tertiary Centre in Nigeria

Audit of lower urinary tract endoscopic procedures in Borno, North-Eastern Nigeria

Outcome of Transurethral Resection of the Prostate (TURP) using 5% Dextrose Water as Irrigant

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