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KMID : 0356420030210020085
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Journal of Korean Andrology
2003 Volume.21 No. 2 p.85 ~ p.89
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Comparison of Transurethral Resection of Prostate Plus Incision of Bladder Neck and Prostate with Transurethral Resection of Prostate in Patients with Benign Prostatic Hyperplasia
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Sung Yeop Cheon
Park Jong-Kwan
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Abstract
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Purpose: We evaluated the effectiveness and complications of trasurethral resection of the prostate plus incision of the bladder neck and prostate(TUR-P +I) and transurethral resection of the prostate (TUR-P).
Materials and Methods: We reviewed 101 patients with benign prostatic hyperplasia(BPH) who were randomized to TUR-P + I (N=78 ; Group I) or TUR-P (N=23 ; Group II) from December 2000 to March 2002. After TUR of the adenoma, the trigone, bladder neck, and surgical capsule of the prostate were incised with a pointed coagulating electrode at the 5-and 7-o’clock positions from the distal edge of the ureteral orifice to the verumontanum. Patients were evaluated at 1 month, 3 months, and 6 months after operation in terms of the change in International Prostatic Symptom Score(IPSS), peak urinary flow rate, and complications.
Results: The mean prostatic weight of Groups I and II was 40.5 ±15.5 g and 36.7 ±10.6 g, respectively. The operative time and resected prostatic weight of Group I were 59.0 ±23.8 min and 16.2 ±11.4 g and those of Group II were 64.1 ±27.5 min and 11.5 ±5.8 g. The postoperative complication rates were smiliar in the two groups. The preoperative IPSS symptom score and peak urinary flow rate were 22.4 ±6.4 and 9.8 ±5.4 mL/sec, respectively, in Group I and 23.7 ±7.6 and 9.3 ±4.4 mL/sec in Group II. The 1-, 3-, and 6-month IPSS were 13.2 ±6.0, 10.1 ±5.1, and 9.2 ±4.8 in Group I and 13. 2 ±5.0 , 10.1 ±4.2, and 9.2 ±4.4 in Group II. The peak urinary flow rates at those times were 15.6 ±4.9, 15.8 ±5.6, and 15.9 ±5.1 mL/sec in Group I and 14.6 ±4.2, 14.6 ±3.9, and 14.3 ±4.5 mL/sec in Group II.
Conculsions: The TUR-P + I could be a safe, effective surgical method for BPH. However, longer follow-up and more patients are required to establish the value of this technique.
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KEYWORD
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Transurethral resection, Transurethral incision, Prostate
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