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| http://dx.doi.org/10.4103/1008-682X.178484 | DOI Listing |
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Tranexamic acid for reducing blood loss in bipolar transurethral resection of the prostate: a systematic review of literature.
Einstein (Sao Paulo)
December 2024
Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Objective: To study the efficacy of tranexamic acid at reducing bleeding during bipolar prostate resection surgery (B-TURP) in patients with benign prostatic hyperplasia.
Methods: We searched registers with MESH terms "prostate hyperplasia," "prostate surgery," and "tranexamic acid." Studies available in full and online, published from 2013 to 2023, in Portuguese, English, Spanish, and French were included; review articles were excluded.
Aim The aim is to compare the incidence of urethral strictures and other complications following monopolar and bipolar transurethral resection of the prostate (TURP). Method We conducted a retrospective study to compare patients who underwent bipolar TURP with those who underwent monopolar TURP between 2017 and 2023. The collected data included demographics, age, history of urethral stricture, prostate size, operation duration, and postoperative complications, such as blood transfusion, transurethral resection (TUR) syndrome, and other relevant data points.
View Article and Find Full Text PDFComparison of surgical outcomes of endoscopic enucleation of the prostate using different energies.
Ther Adv Urol
November 2024
Department of Medical Device Development, Seoul National University College of Medicine, Seoul, Korea.
Objective: This study evaluates surgical outcomes in benign prostatic hyperplasia (BPH) patients undergoing transurethral enucleation using various holmium laser (HoLEP) settings and/or bipolar devices (BipoLEP).
Design: This study was retrospective.
Methods: We retrospectively analyzed 158 BPH patients treated surgically, categorized by method: BipoLEP ( = 28), HoLEP with short pulse (HoLEP-SP, = 26), HoLEP with long pulse and low energy (HoLEP-LP/LE, = 29), HoLEP with long pulse and high energy (HoLEP-LP/HE, = 26), HoLEP using Moses technology (HoLEP-Mo, = 19), and a combination of HoLEP and BipoLEP (HoLEP-mix, = 30).
Analysis of risk factors for bladder neck contracture after transurethral endoscopic surgery for benign prostatic hyperplasia.
Aging Male
December 2024
Department of Urology, Urologic Surgery Center, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Article Synopsis
- This study aims to identify risk factors for bladder neck contracture (BNC) following endoscopic surgery for benign prostatic hyperplasia (BPH) to improve clinical practices.
- A retrospective analysis of 420 patients who underwent surgery revealed an overall BNC occurrence of 4.29%, with no significant difference between two surgical methods: bipolar transurethral resection and green light laser vaporization.
- Key independent risk factors for developing BNC included smaller prostate volume before surgery, a history of smoking, positive urine cultures prior to surgery, and longer durations of postoperative catheterization.
Urethral Strictures After Endoscopic Enucleation of the Prostate and Its Associated Clinical Outcomes in Aging Men.
Medicina (Kaunas)
October 2024
School of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
Article Synopsis
- * A study of 246 patients showed that 9.3% experienced urethral strictures post-surgery, primarily at the membranous urethra, and certain factors like smaller prostate size and higher postoperative urinary tract infections (UTIs) were linked to a greater risk of developing strictures.
- * The research indicated that the method of energy used in the surgical procedure did not significantly affect the formation of urethral strictures, highlighting that complications can arise regardless of the technique. *
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