Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia
Journal of Surgery
Volume 4, Issue 2, April 2016, Pages: 40-44
Received: Mar. 16, 2016; Accepted: Apr. 11, 2016; Published: May 6, 2016
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Authors
Bin Pan, Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People’s Republic of China
Zhihai Deng, Department of Urology, Gao Zhou People's Hospital, Gaozhou, Guangdong, People's Republic of China
Genlong Jiao, Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People’s Republic of China
Caiyong Lai, Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People’s Republic of China
Zexuan Su, Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People’s Republic of China
Junfeng Liu, Department of Urology, Inner Mongolia People's Hospital, Hohhot, Inner Mongolia, People's Republic of China
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Abstract
Transurethral enucleation resection of the prostate is safe and feasible for the treatment of symptomatic benign prostatic hyperplasia (BPH). However, long-term results of this treatment in patients with BPH have not been reported. To assess the efficacy and safety of this procedure, this study retrospectively evaluated long-term outcomes in 1400 consecutive patients who underwent transurethral enucleation resection of the prostate for BPH between 2008 and 2014. Patients were followed up at 1, 3, 6, and 12 months, and every year thereafter. At a median follow-up of 70.1 months, mean Qmax increased from 6.43 to 22.1 ml/s and mean IPSS decreased from 22.3 to 2.9. PVR decreased from 123.0 to 12.0 cc, and mean TRUS volume decreased from 65.4 to 21.4 ml (P<0.0000). QOL score improved from 4.96 to 1.0, and PSA concentrations decreased from 6.87 to 0.75 ng/ml (P<0.0000). Complications included bladder neck contracture in 1.0% of patients and urethral stricture in 1.3%. These long-term results showed that transurethral enucleation resection of the prostate is durable, safe, and effective for patients with BPH, with patients not requiring reoperation.
Keywords
Benign Prostatic Hyperplasia, Transurethral Resection of the Prostate, Follow-up
To cite this article
Bin Pan, Zhihai Deng, Genlong Jiao, Caiyong Lai, Zexuan Su, Junfeng Liu, Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia, Journal of Surgery. Vol. 4, No. 2, 2016, pp. 40-44. doi: 10.11648/j.js.20160402.18
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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