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Seçilmiş BHP Olgularında Transüretral Prostat İnsizyonunun Tedavideki Yeri

Transurethral Prostate Incision as a Treatment Model in Choosen Patients with BPH

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2004

Key Words:

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Abstract (2. Language): 
Purpose : In this study we tried to determine the efficacy of transurethral prostate incision (TUIP) in patients with BPH who had unsatisfying results after various medical treatment models for lower urinary tract symptoms. Materials and Methods : TUIP was applied to 31 patients. Results : The mean age of patients was 56.5 and the mean prostatic volume was 41 gr . The preoperative mean maximum urine flow rate was 10.3 ml/sec and the mean residual volume was 60 cc. The maximum urine flow rate increased up to 13.9 ml/sec and 22 cc. residual volume decresed to after the operation. The results were statistically significant (p<0.001). The cure rate for symptoms was %52. At the postoperative period epididymitis developed in 3 patients and retrograde ejaculation in 5. We applied TURP in 5 patients in whom the treatment model failed. Conclusions : As a conclusion, we agree that transuretral prostate incision may be an alternative treatment model in symtomatic small benign prostate hiperplasia and in young patients to care the sexual functions.
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Abstract (Original Language): 
Amaç : Bu çalışmada alt üriner sistem semptomları nedeniyle çeşitli medikal tedavilere rağmen yeterli sonuç alınamıyan BPH lı hastalarda transüretral prostat insizyonunun (TUIP) etkinliğini araştırdık. Gereç ve Yöntem: 31 hastaya TUIP uygulandı, preoperatif ve postoperatif parametreler değerlendirildi. Bulgular : Hastaların ortalama yaşı 56.5 ve ortalama prostat volümü 41 gr olarak bulundu. Preoperatif maksimum idrar akım hızı ortalama 10.3 ml/sn, rezidüel volümü ortalama 60 cc olan hastaların tedavi sonunda bu değerleri sırasıyla 13.9 ml/sn ve 22 cc olarak tespit edildi. Sonuçlar istatistiksel olarak anlamlıydı (p<0.001). Semptomlarda ise yaklaşık %52 oranında bir düzelme kaydedildi. Postoperatif dönemde üç hastada epididimit, beş hastada retrograd ejakülasyon oluştuğu gözlendi. Beş hastaya ise tedavideki başarısızlık nedeniyle TURP uygulandı. Sonuç : Sonuç olarak özellikle prostat hacmi küçük olan ve seksüel fonksiyonun korunması gereken genç hastalarda, transüretral prostat insizyonu alternatif bir tedavi olarak düşünülebilir.
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  • 4
223-225
  • Turkish

REFERENCES

References: 

1- Mebust W.K., Holtgrewe HL, Cockett ATK et all: Transurethral prostatectomy :
immediate and postoperative complications. A cooperative study at 13 participating
institutions evaluating 3885 patients. J Urol. 1989; 141: 243
2- Zwergel T, Wullich B, Lindenmeir U, Rohde V, Zwergel T : Long-term results
following transurethral resection of the prostate. Eur Urol.1998; 33 (5): 476-80
3- Holmon C.D, Wisniewski Z.S, semmens J.B, Rouse I.L, Bass A.J . Mortalitiy and
prostate cancer risk in 19.598 men after surgery for benign prostatic hyperplasia. BJU
Int. Jul 1999; 84 (1) : 37-42
4- Keitzer WA, Cherventes L, Demaculang A: Transurethral incision of bladder neck for
contracture. J Urol. 1961; 86: 242
5- Orandi A: Transurethral incision of the prostate, J.Urol, 1973; 110:229
6- Drago JR: Transurethral incision of the prostate, Urology. 1991; 36:305
7- Sirls LT, Ganabahti K, Zimmern PE: Transurethral incision of the prostate: an
objective and subjective evaluation of long term efficiacy. J Urol.1993; 150:1615
8- Orandi A: Transurethral incision of the prostate (TUIP): 646 cases in 15 years. Br J
Urol.1985; 57:703
9- Dorflinger T, Jensen FS, Krarup T, et al: Transurethral prostatetomy compared with
incision of the prostate in the treatment prostatism caused by small benign prostate
glands. Scand. J Urol Nephrol. 1992; 26:333
10- Soonawalla Pf, Pardanani DS. Transurethral incision versus transurethral resection of
the prostate: A subjective and objective analysis. Br J Urol. 1991; 70:174
11- Yang Q, Abrams P, Donovan J, Mulligan S, Williams G : Transurtehral resection or
incision of the prostate and other therapies. Bju Int. Oct. 1999; 84(6) : 640-5

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