The impact of surgical duration on complications after transurethral resection of the prostate: an analysis of NSQIP data

Riedinger, Christopher B.; Fantus, Richard J.; Matulewicz, Richard S.; Werntz, Ryan P.; Rodríguez, Joseph A.; Smith, Norm D.

doi:10.1038/s41391-018-0104-3

Cited by 29 publications

(17 citation statements)

References 29 publications

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“…El límite superior para RTUP-M sugerido es de 80 ml (según la opinión del panel de expertos, bajo el supuesto de que este límite depende de la experiencia del cirujano, la elección del tamaño del resectoscopio y la velocidad de resección), a medida que aumenta la duración quirúrgica, hay un aumento significativo en la tasa de complicaciones y el procedimiento es más seguro cuando se realiza en menos de 90 minutos. 24,25…”

Section: 31unclassified

Guía de manejo Hiperplasia Prostática Benigna (SCU 2021)

López-Ramos

Latorre

Patiño

et al. 2021

Revista Urología Colombiana / Colombian Urology Journal

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Section: 31unclassified

Guía de manejo Hiperplasia Prostática Benigna (SCU 2021)

López-Ramos

Latorre

Patiño

et al. 2021

Revista Urología Colombiana / Colombian Urology Journal

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“…The accepted duration for TURP is 60-90minutes, as longer time is associated with increased morbidity. In a review of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) from 2006 to 2016, Riedinger et al showed that TURP lasting greater than 90mins was associated with more significant morbidity and complications [25]. Therefore, it is crucial to adhere to this time frame, especially where the expertise is not profound.…”

Section: Discussionmentioning

confidence: 99%

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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“…This recommendation is based on the fact that a lager prostate will require a longer resection time. The recommended safe resection time is <90 minutes as prolonged resection time is associated with more complications including post-operative sepsis, post-operative shock, increased bleeding and requirement for blood transfusion, Transurethral resection (TUR) syndrome and deep venous thrombosis/ pulmonary embolism [5]. For patients with prostate glands >100 mls, recommended options for surgical treatment include open prostatectomy (OP), staged TURP, bipolar transurethral resection of the prostate (b-TURP), laser photo-vaporization of the prostate (PVP) and holmium laser enucleation of the prostate (HoLEP) [4], [6], [7].…”

Section: Introductionmentioning

confidence: 99%

Two-Stage TURP as an Option for Treatment of Large Prostates in Resource Poor Environments

et al. 2021

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Transurethral resection of the prostate (TURP) is the gold standard of surgical therapy of benign prostatic hyperplasia (BPH) for prostates <100 ml. This study was carried out to describe our experience with and outcome of staged TURP for large prostates (>100 ml). A review of the records of all the patients who underwent staged TURP for large BPH at a specialist urology center. They had two-stage monopolar resection using a size 26F continuous flow resectoscope and 5% Dextrose water irrigation. Staged-TURP were performed by a single Consultant Urologist under spinal anesthesia. Patients’ age, Co-morbidities, Prostate-specific Antigen (PSA), Abdominal Ultrasound scan (USS) estimated prostate volume, Pre-operative Packed Cell Volume (Pre-op PCV), Post-operative Packed Cell Volume (Post-op PCV), Resection Weight for 1st stage (RW I), Resection Weight for 2nd stage (RW II), Resection Time for 1st stage (RT I), Resection Time for 2nd stage (RT II), blood transfusion were obtained and analyzed. Follow up was for a minimum of 9 months and the outcome and development of complications noted. Statistical analysis was done using the IBM Statistical Package for the Social Sciences (SPSS) version 20.0 (IBM, Chicago, USA). Means and percentages were calculated, and paired sample T test was used to compare variables between 1st stage and 2nd stage. P value < 0.05 was considered significant. Twenty-five patients with a mean age of 72.32±7.98 years were analyzed. Most (88%) were on indwelling Foley’s urethral catheter before surgery. The mean PSA and prostate volume were 25.61±22.08 ng/ml and 221.56±62.78 cm3. There were significant differences between Pre-op PCV and Post-op PCV (p<0.001); RWI and RWII (p<0.001); and RTI and RTII (p<0.001). Nineteen patients (76%) received perioperative transfusion. Most patients voided satisfactorily following catheter removal except one who developed acute urinary retention (AUR). No cases of TUR syndrome, post-operative sepsis, DVT or PE and urethral stricture were recorded. Staged TURP is safe and effective treatment modality for patients with large prostates in the absence of more recent endoscopic options.

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The impact of surgical duration on complications after transurethral resection of the prostate: an analysis of NSQIP data

Cited by 29 publications

References 29 publications

Guía de manejo Hiperplasia Prostática Benigna (SCU 2021)

Guía de manejo Hiperplasia Prostática Benigna (SCU 2021)

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

Two-Stage TURP as an Option for Treatment of Large Prostates in Resource Poor Environments

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