Safety of transurethral resection of large prostate.

Autor:	Al-Bakri A; Department of Surgery, Division of Urology, Security Forces Hospital, Riyadh Region, Kingdom of Saudi Arabia., Al-Jaser A; Department of Surgery, Division of Urology, Security Forces Hospital, Riyadh Region, Kingdom of Saudi Arabia., Al-Gamdi K; Department of Surgery, Division of Urology, Security Forces Hospital, Riyadh Region, Kingdom of Saudi Arabia., Al-Reshaid R; Department of Surgery, Division of Urology, Security Forces Hospital, Riyadh Region, Kingdom of Saudi Arabia., Al-Enizi A; Department of Surgery, Division of Urology, Security Forces Hospital, Riyadh Region, Kingdom of Saudi Arabia., Al-Kharji AA; Department of Surgery, Division of Urology, Security Forces Hospital, Riyadh Region, Kingdom of Saudi Arabia., Al-Zahrani I; Department of Surgery, Division of Urology, Security Forces Hospital, Riyadh Region, Kingdom of Saudi Arabia., Al-Modahi N; Department of Surgery, Division of Urology, Security Forces Hospital, Riyadh Region, Kingdom of Saudi Arabia., Al-Harbi M; Department of Surgery, Division of Urology, Security Forces Hospital, Riyadh Region, Kingdom of Saudi Arabia., Al-Mani A; Department of Surgery, Division of Urology, Security Forces Hospital, Riyadh Region, Kingdom of Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Urology annals [Urol Ann] 2023 Apr-Jun; Vol. 15 (2), pp. 162-165. Date of Electronic Publication: 2023 Jan 16.
DOI:	10.4103/ua.ua_192_21
Abstrakt:	Background: Benign prostatic hyperplasia is a common benign disease occurs in older men. Some patients can be treated medically but eventually, most of them will need a surgical intervention, and the most commonly applied procedure is transurethral resection of the prostate (TURP). Objectives: The objective of this study is to assess the feasibility and safety of performing transurethral resection of large prostate (80 g and more). Methodology: Out of 153 patients reviewed 48 cases included in this study. The main data collected from patients' files and patient interview. The criteria of exclusion were prostate size <80 g and previous history of TURP. The collected data were analyzed by the Statistical Package for the Social Sciences (SPSS). Results: The main results showed that 93.7% of patients did not experience major bleeding postoperatively, neither major drop in hemoglobin level. Moreover, the patient's distribution according to the presence of TUR syndrome was only 2.1% with mild symptoms. No patient had an episode of retention during the hospital stay or in the follow-up. Conclusion: Surgeon experience, systematic resection approach, and strict time of resection are important factors to assure the safety of TURP in large prostate. In cases of huge prostate size >100 g, staged TURP can be offered safely or if patients' obstructive symptoms do not resolve after the first procedure. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Urology Annals.)
Databáze:	MEDLINE
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