Feasibility and Safety of Bipolar-plasmakinetic Transurethral Enucleation and Resection of the Prostate in Day Surgery Mode

Overview

Journal Zhejiang Da Xue Xue Bao Yi Xue Ban

Specialty General Medicine

Date 2023 Jun 7

PMID 37283098

Authors

Zhihui Zou

Ligang Zhang

Keke Cai

Yongtao Hu

Shuchen Liu

Jia Chen

Qintao Ge

Xiaohu Zhao

Zongyao Hao

Chaozhao Liang

Affiliations

Soon will be listed here.

Abstract

Objectives: To evaluate the feasibility and safety of bipolar-plasmakinetic transurethral enucleation and resection of the prostate (B-TUERP) in day surgery.

Methods: From January 2021 to August 2022, 34 patients with benign prostatic hyperplasia (BPH) underwent B-TUERP in day surgery in the First Affiliated Hospital of Anhui Medical University. Patients completed the screening and anesthesia evaluation before admission and received the standard surgery which implements "anatomical enucleation of the prostate" and "absolute bleeding control" on the same day of admission, and by the same doctor. Bladder irrigation was stopped, catheter was removed and the discharge evaluation was performed on the first day after operation. The baseline data, perioperative conditions, time of recovery, treatment outcomes, hospitalization costs, and postoperative complications were analyzed.

Results: All operations were successfully conducted. The average age of the patients was (62.2±7.8) years, average prostate volume was (50.2±29.3) mL. The average operation time was (36.5±19.1) min, the average hemoglobin and blood sodium were decreased by (16.2±7.1) g/L and (2.2±2.0) mmol/L, respectively. The average postoperative length of hospital stay, and total length of hospital stay were (17.7±2.2) and (20.8±2.1) h, respectively, and the average hospitalization cost was (13 558±2320) CNY. All patients were discharged on the day after surgery except for one patient who was transferred to a general ward. Three patients received indwelling catheterization after catheter removal. The 3-month follow-up results showed a substantial improvement in the International Prostate Symptom Score, quality of life score and maximum urinary flow rate (all <0.01). Three patients experienced temporary urinary incontinence, 1 patient experienced urinary tract infection, 4 patients were diagnosed with urethral stricture and 2 patients experienced bladder neck contracture. No complications above Clavien grade Ⅱ occurred.

Conclusions: The preliminary results showed that B-TUERP ambulatory surgery is a safe, feasible, economical and effective treatment for appropriately selected patients with BPH.

Citing Articles

Comparative Analysis of Three Surgical Instruments in the Treatment of High Critical Enucleation of Prostate.

Guangquan T, Changyi L, Peng Z, Na L, Jumuddin F Asian Pac J Cancer Prev. 2024; 25(9):3023-3028.

PMID: 39342579 PMC: 11700320. DOI: 10.31557/APJCP.2024.25.9.3023.

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