Impact of Using Suprapubic Cystostomy during Monopolar Transurethral Resection of Large Size Prostate: A Prospective Study | ||||
| Zagazig University Medical Journal | ||||
| Article 17, Volume 25, Issue 5, September 2019, Page 767-772 PDF (116.24 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2019.10200.10850 | ||||
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| Authors | ||||
Abd Elrahman Mahmoud ; Khaled Mohamed Abd Elsamad; Esam abdelmohsen Desoky; Abdulmonam Emhemmed forgani
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| Abstract | ||||
| Background: Benign prostatic hyperplasia (BPH), the most common benign neoplasm in men. Despite the development of medical therapy and alternative minimally invasive procedures, the monopolar transurethral resection of the prostate still the “gold standard” in the operative management of BPH . Purpose: To evaluate efficacy and safety of suprapubic cystostomy during resection of the prostate > 80 gram. Patients and methods: In this study patients operated with monopolar TURP between January 2018 and January 2019 were evaluated at zagazig university hospital . During surgery a catheter (12 Fr) was placed suprapubically. All patients were followed-up for at least 6 months after surgery. Results: the mean age (64.95±4.43), IPSS (28.81±2.08), , and post void residual (PVR) 82.75±20.9. Mean prostate volume was (88.87±7.5)g . mean surgical time was (47.5±7.03 )/min , mean catheter time removed was( 2.37±0.44) day, mean post operative hospital stay was (2.38±0.46)day, mean bladder pressure was (11.83 ±0.44) cmH2, mean percentage of resection to prostate size(0.60±0.08) and the mean Resection efficiency was (1.14±0.23)g /mint. Blood transfusion was not necessary and developed TUR syndrome (0.0). At follow-up the mean IPSS (3.55±1.), and PVR (18.79±7.27). regard late complication (16cases) 66.7% were without any complication 29.2% with retrograde ejaculation and 1 case 4.2% was with incontinence. Conclusion: we can conclude the using of suprapubic cystostomy during monopolar transurethral resection of large prostate > 80 gram, is more safe and more effective method . | ||||
| Keywords | ||||
| suprapubic cystostomy; Monopolar Transurethral Resection; Large Size Prostate | ||||
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