Personalized Approach to the Surgical Treatment of Benign Prostatic Hyperplasia by Bipolar Transurethral Resection of the Prostate

Abstract

Aim: to improve the outcomes o f surgical treatment o f benign prostatic hyperplasia by bipolar transurethral prostatic resection based on the personalized approach. Materials and methods. Surgical treatment of prostatic hyperplasia by bipolar transurethral resection of the prostate was carried out in 50 patients: the personalized approach, that is extensive preoperative preparation, was adopted in 25 cases, and the standard procedure was implemented in the rest 25 cases. Functional outcomes were assessed in 1, 3 and 6 months after surgery, taking into account intra-and postoperative complications. Results and discussion. The use of the personalized approach resulted in the reduction in the duration of surgery (p = 0.019), amount of blood loss (p = 0.027), incidence o f hyperthermia in the early postoperative period (p = 0.021), duration of bladder catheterization (p = 0.030) and the duration o f hospital stay (p = 0.031). The personalized approach was proved to have a positive effect on the functional outcome o f bipolar transurethral resection of the pros tate: Qmax value in 1, 3 and 6 months (p = 0.037, p = 0.030, p = 0.036), IPSS score in 6 months (p = 0.037), QOL score in 1 and 3 months (p = 0.041, p = 0.030) and residual urine volume in 3 and 6 months (p = 0.035, p = 0.040). Conclusions. The personalized approach contributes to improving the functional outcomes of bipolar transurethral resection of the prostate, namely, improving the Qmax value in 1, 3 and 6 months, reducing the IPSS score in 6 months and the QOL score in 1 and 3 months, and decreasing the residual urine volume in 3 and 6 months. Keywords: prostatic hyperplasia, bipolar transurethral resection of the prostate, preoperative management, postopera tive complications, personalized approach, persistent irritative symptoms, alpha-blockers, anticholinergics For citation: Chekhonatskii I.A., Loran O.B. Personalized approach to the surgical treatment of benign prostatic hyper plasia by bipolar transurethral resection of the prostate. Creative Surgery and Oncology. 2023;13(2):125-130.