Bipolar transurethral resection of the prostate (TURP) is an effective and safe alternative to monopolar TURP. The aim of this study was to investigate the influence of resected prostate weight on the clinical outcome improvement after bipolar TURP for benign prostatic hyperplasia (BPH) patients.
A total of 233 men with BPH who underwent bipolar TURP were included in this prospective study. International Prostate Symptom Score (I-PSS), quality of life (QoL), maximum flow rate (Qmax) and post-void residual urine volume (PVR) were assessed preoperatively and 3 months postoperatively. The relationship between the resected prostatic weight ratio (RPWR, %) and clinical improvement was investigated.
Significant improvements in Qmax, PVR, I-PSS and QoL were found 3 months after operation, and Qmax was correlated with RPWR (r = 0.1521, P = .020). The RPWR was significantly higher in patients with postoperative Qmax > 20 mL/s (P = .049). Moreover, Qmax at 3-month follow-up was higher in patients with RPWR over 50% than patients with RPWR between 0-25% (P < .05). In addition, patients with larger prostate volume tended to gain better Qmax and I-PSS postoperatively (P < .05).
The RPWR exerts an influence on postoperative Qmax, rather than I-PSS and QoL score, and patients with larger prostate volume tend to gain better clinical outcomes from bipolar TURP than those who with smaller prostates.
Urology journal. 2022 Jan 03 [Epub ahead of print]
Peng Zhang, Wenkui Dong, Tao Liu, Tongzu Liu, Xing Huang
Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China. ., Department of Urology, Laohekou No.1 People's Hospital, Laohekou 441800, China. ., Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China. ., Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China. ., Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China. .