Journal of Surgery

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Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia

Received: 16 March 2016    Accepted: 11 April 2016    Published: 06 May 2016
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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.

DOI 10.11648/j.js.20160402.18
Published in Journal of Surgery (Volume 4, Issue 2, April 2016)
Page(s) 40-44
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Benign Prostatic Hyperplasia, Transurethral Resection of the Prostate, Follow-up

References
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[2] Hawary A, Mukhtar K, Sinclair A, Pearce I. Transurethral resection of the prostate syndrome: almost gone but not forgotten. J Endourol 2009; 23: 2013-20.
[3] Gilling PJ, Wilson LC, King CJ, Westenberg AM, Frampton CM, Fraundorfer MR. Long-term results of a randomized trial comparing holmium laser enucleation of the prostate and transurethral resection of the prostate: results at 7 years. BJU Int 2012; 109: 408-11.
[4] Geavlete P. Is Classical Transurethral Resection of the Prostate, the Gold Standard Endoscopic Treatment for Benign Prostate Hyperplasia, in Real Danger of Being Replaced? Eur Urol 2010; 58: 349-55.
[5] Xu A, Zou Y, Li B, Liu C, Zheng S, Li H, et al. A Randomized Trial Comparing Diode Laser Enucleation of the Prostate with Plasmakinetic Enucleation and Resection of the Prostate for the Treatment of Benign Prostatic Hyperplasia. J Endourol 2013; 27: 1254-1260.
[6] Liu C, Zheng S, Li H, Xu k. Transurethral enucleation and resection of prostate in patients with benign prostatic hyperplasia by plasma kinetics. J Urol 2010; 184: 2440-5.
[7] Rao JM, Yang JR, Ren YX, He J, Ding P, Yang JH. Plasmakinetic enucleation of the prostate versus transvesical open prostatectomy for benign prostatic hyperplasia &gt;80 mL: 12-month follow-up results of a randomized clinical trial. Urology 2013; 82: 176-81.
[8] Ou R, Deng X, Yang W, Wei X, Chen H, Xie K. Transurethral enucleation and resection of the prostate vs transvesical prostatectomy for prostate volumes &gt;80 mL: a prospective randomized study. BJU Int 2013; 112: 239-245.
[9] Zhao Z, Zeng G, Zhong W, Mai Z, Zeng S, Tao X. A prospective, randomised trial comparing plasmakinetic enucleation to standard transurethral resection of the prostate for symptomatic benign prostatic hyperplasia: three-year follow-up results. Eur Urol 2010; 58: 752-8.
[10] Fayad AS, Sheikh MG, Zakaria T, Elfottoh HA, Alsergany R. Holmium laser enucleation versus bipolar resection of the prostate: a prospective randomized study. Which to choose? J Endourol 2011; 25: 1347-52.
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[13] Elmansy H, Baazeem A, Kotb A, Badawy H, Riad E, Emran A, et al. Holmium laser enucleation versus photoselective vaporization for prostatic adenoma greater than 60 ml: preliminary results of a prospective, randomized clinical trial. J Urol 2012; 188: 216-21.
[14] Elshal AM, Elmansy HM, Elhilali MM. Feasibility of holmium laser enucleation of the prostate (HoLEP) for recurrent/residual benign prostatic hyperplasia (BPH). BJU Int 2012; 110: E845-50.
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[16] Neill MG, Gilling PJ, Kennett KM, Frampton CM, Westenberg AM, Fraundorfer MR, et al. Randomized trial comparing Holmium laser enucleation of prostate with plasmakinetic enucleation of prostate for treatment of benign prostatic hyperplasia. Urology 2006; 68: 1020-4.
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Author Information
  • Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People’s Republic of China

  • Department of Urology, Gao Zhou People's Hospital, Gaozhou, Guangdong, People's Republic of China

  • Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People’s Republic of China

  • Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People’s Republic of China

  • Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, People’s Republic of China

  • Department of Urology, Inner Mongolia People's Hospital, Hohhot, Inner Mongolia, People's Republic of China

Cite This Article
  • APA Style

    Bin Pan, Zhihai Deng, Genlong Jiao, Caiyong Lai, Zexuan Su, et al. (2016). Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia. Journal of Surgery, 4(2), 40-44. https://doi.org/10.11648/j.js.20160402.18

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    ACS Style

    Bin Pan; Zhihai Deng; Genlong Jiao; Caiyong Lai; Zexuan Su, et al. Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia. J. Surg. 2016, 4(2), 40-44. doi: 10.11648/j.js.20160402.18

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    AMA Style

    Bin Pan, Zhihai Deng, Genlong Jiao, Caiyong Lai, Zexuan Su, et al. Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia. J Surg. 2016;4(2):40-44. doi: 10.11648/j.js.20160402.18

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  • @article{10.11648/j.js.20160402.18,
      author = {Bin Pan and Zhihai Deng and Genlong Jiao and Caiyong Lai and Zexuan Su and Junfeng Liu},
      title = {Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia},
      journal = {Journal of Surgery},
      volume = {4},
      number = {2},
      pages = {40-44},
      doi = {10.11648/j.js.20160402.18},
      url = {https://doi.org/10.11648/j.js.20160402.18},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20160402.18},
      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.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Long-term Follow-up of Transurethral Enucleation Resection of the Prostate for Symptomatic Benign Prostatic Hyperplasia
    AU  - Bin Pan
    AU  - Zhihai Deng
    AU  - Genlong Jiao
    AU  - Caiyong Lai
    AU  - Zexuan Su
    AU  - Junfeng Liu
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    DO  - 10.11648/j.js.20160402.18
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 40
    EP  - 44
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20160402.18
    AB  - 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.
    VL  - 4
    IS  - 2
    ER  - 

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