Open suprapubic versus retropubic prostatectomy in the treatment of benign prostatic hyperplasia during resident's learning curve: a randomized controlled trial
| Autor: | Gabriel Kushiyama Teixeira, Pedro Hermínio Forseto, Paulo Kouiti Sakuramoto, Andre Kataguiri, Fernanda Batistini Yamada, Antonio Carlos Lima Pompeo, Marcos Tobias-Machado, Leonardo Monte Marques Lins, Arie Carneiro, Carlos Ricardo Doi Bautzer, Alexandre Den Julio, Marcelo Langer Wroclawski |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Urology medicine.medical_treatment Operative Time 030232 urology & nephrology Prostatic Hyperplasia lcsh:RC870-923 Statistics Nonparametric 03 medical and health sciences 0302 clinical medicine Postoperative Complications Lower Urinary Tract Symptoms Lower urinary tract symptoms Prostate Physicians medicine Medical Staff Hospital Humans Prospective Studies Prospective cohort study Intraoperative Complications Aged Aged 80 and over Prostatectomy business.industry Incidence (epidemiology) Perioperative Middle Aged lcsh:Diseases of the genitourinary system. Urology medicine.disease Surgery medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis Original Article Prostate surgery business Learning Curve Open Prostatectomy |
| Zdroj: | International braz j urol v.42 n.2 2016 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International Brazilian Journal of Urology, Vol 42, Iss 2, Pp 284-292 (2016) International braz j urol, Volume: 42, Issue: 2, Pages: 284-292, Published: APR 2016 International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology |
| Popis: | Purpose: This study compared the suprapubic (SP) versus retropubic (RP) prostatectomy for the treatment of large prostates and evaluated perioperative surgical morbidity and improvement of urinary symptoms. Materials and Methods: In this single centre, prospective, randomised study, 65 consecutive patients with LUTS and surgical indication with prostate volume greater than 75g underwent open prostatectomy to compare the RP (32 patients) versus SP (33 patients) technique. Results: The SP group exhibited a higher incidence of complications (p=0.002). Regarding voiding pattern analysis (IPSS and flowmetry), both were significantly effective compared to pre-treatment baseline. The RP group parameters were significantly better, with higher peak urinary flow (SP: 16.77 versus RP: 23.03mL/s, p=0.008) and a trend of lower IPSS score (SP: 6.67 versus RP 4.14, p=0.06). In a subgroup evaluation of patients with prostate volumes larger than 100g, blood loss was lower in those undergoing SP prostatectomy (p=0.003). Patients with prostates smaller than 100g in the SP group exhibited a higher incidence of low grade late complications (p=0.004). Conclusions: The SP technique was related to a higher incidence of minor complications in the late postoperative period. High volume prostates were associated with increased bleeding when the RP technique was utilized. The RP prostatectomy was associated with higher peak urinary flow and a trend of a lower IPSS Score. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|