Personalized Approach to the Surgical Treatment of Benign Prostatic Hyperplasia by Bipolar Transurethral Resection of the Prostate
Aim: to improve the outcomes of surgical treatment of benign prostatic hyperplasia by bipolar transurethral prostatic resection based on the personalized approach. Materials and methods. Surgical treatment of prostatic hyperplasia by bipolar transurethral resection of the prostate was carried out...
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Bashkir State Medical University
2023-07-01
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| Series: | Креативная хирургия и онкология |
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| Online Access: | https://www.surgonco.ru/jour/article/view/809 |
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| author | I. A. Chekhonatskii O. B. Loran |
| author_facet | I. A. Chekhonatskii O. B. Loran |
| author_sort | I. A. Chekhonatskii |
| collection | DOAJ |
| description | Aim: to improve the outcomes of surgical treatment of benign prostatic hyperplasia by bipolar transurethral prostatic resection based on the personalized approach. Materials and methods. Surgical treatment of prostatic hyperplasia by bipolar transurethral resection of the prostate was carried out in 50 patients: the personalized approach, that is extensive preoperative preparation, was adopted in 25 cases, and the standard procedure was implemented in the rest 25 cases. Functional outcomes were assessed in 1, 3 and 6 months aft er surgery, taking into account intra- and postoperative complications. Results and discussion. The use of the personalized approach resulted in the reduction in the duration of surgery (p = 0.019), amount of blood loss (p = 0.027), incidence of hyperthermia in the early postoperative period (p = 0.021), duration of bladder catheterization (p = 0.030) and the duration of hospital stay (p = 0.031). The personalized approach was proved to have a positive eff ect on the functional outcome of bipolar transurethral resection of the prostate: Qmax value in 1, 3 and 6 months (p = 0.037, p = 0.030, p = 0.036), IPSS score in 6 months (p = 0.037), QOL score in 1 and 3 months (p = 0.041, p = 0.030) and residual urine volume in 3 and 6 months (p = 0.035, p = 0.040). Conclusions. Th e personalized approach contributes to improving the functional outcomes of bipolar transurethral resection of the prostate, namely, improving the Qmax value in 1, 3 and 6 months, reducing the IPSS score in 6 months and the QOL score in 1 and 3 months, and decreasing the residual urine volume in 3 and 6 months. |
| format | Article |
| id | doaj-art-b7ecdd596cd548e589f46badcd8fcfae |
| institution | Kabale University |
| issn | 2076-3093 2307-0501 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Bashkir State Medical University |
| record_format | Article |
| series | Креативная хирургия и онкология |
| spelling | doaj-art-b7ecdd596cd548e589f46badcd8fcfae2025-08-20T03:57:27ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012023-07-0113212513010.24060/2076-3093-2023-13-2-125-130525Personalized Approach to the Surgical Treatment of Benign Prostatic Hyperplasia by Bipolar Transurethral Resection of the ProstateI. A. Chekhonatskii0O. B. Loran1Russian Medical Academy of Postgraduate EducationRussian Medical Academy of Postgraduate EducationAim: to improve the outcomes of surgical treatment of benign prostatic hyperplasia by bipolar transurethral prostatic resection based on the personalized approach. Materials and methods. Surgical treatment of prostatic hyperplasia by bipolar transurethral resection of the prostate was carried out in 50 patients: the personalized approach, that is extensive preoperative preparation, was adopted in 25 cases, and the standard procedure was implemented in the rest 25 cases. Functional outcomes were assessed in 1, 3 and 6 months aft er surgery, taking into account intra- and postoperative complications. Results and discussion. The use of the personalized approach resulted in the reduction in the duration of surgery (p = 0.019), amount of blood loss (p = 0.027), incidence of hyperthermia in the early postoperative period (p = 0.021), duration of bladder catheterization (p = 0.030) and the duration of hospital stay (p = 0.031). The personalized approach was proved to have a positive eff ect on the functional outcome of bipolar transurethral resection of the prostate: Qmax value in 1, 3 and 6 months (p = 0.037, p = 0.030, p = 0.036), IPSS score in 6 months (p = 0.037), QOL score in 1 and 3 months (p = 0.041, p = 0.030) and residual urine volume in 3 and 6 months (p = 0.035, p = 0.040). Conclusions. Th e personalized approach contributes to improving the functional outcomes of bipolar transurethral resection of the prostate, namely, improving the Qmax value in 1, 3 and 6 months, reducing the IPSS score in 6 months and the QOL score in 1 and 3 months, and decreasing the residual urine volume in 3 and 6 months.https://www.surgonco.ru/jour/article/view/809prostatic hyperplasiabipolar transurethral resection of the prostatepreoperative managementpostoperative complicationspersonalized approachpersistent irritative symptomsalpha-blockersanticholinergics |
| spellingShingle | I. A. Chekhonatskii O. B. Loran Personalized Approach to the Surgical Treatment of Benign Prostatic Hyperplasia by Bipolar Transurethral Resection of the Prostate Креативная хирургия и онкология prostatic hyperplasia bipolar transurethral resection of the prostate preoperative management postoperative complications personalized approach persistent irritative symptoms alpha-blockers anticholinergics |
| title | Personalized Approach to the Surgical Treatment of Benign Prostatic Hyperplasia by Bipolar Transurethral Resection of the Prostate |
| title_full | Personalized Approach to the Surgical Treatment of Benign Prostatic Hyperplasia by Bipolar Transurethral Resection of the Prostate |
| title_fullStr | Personalized Approach to the Surgical Treatment of Benign Prostatic Hyperplasia by Bipolar Transurethral Resection of the Prostate |
| title_full_unstemmed | Personalized Approach to the Surgical Treatment of Benign Prostatic Hyperplasia by Bipolar Transurethral Resection of the Prostate |
| title_short | Personalized Approach to the Surgical Treatment of Benign Prostatic Hyperplasia by Bipolar Transurethral Resection of the Prostate |
| title_sort | personalized approach to the surgical treatment of benign prostatic hyperplasia by bipolar transurethral resection of the prostate |
| topic | prostatic hyperplasia bipolar transurethral resection of the prostate preoperative management postoperative complications personalized approach persistent irritative symptoms alpha-blockers anticholinergics |
| url | https://www.surgonco.ru/jour/article/view/809 |
| work_keys_str_mv | AT iachekhonatskii personalizedapproachtothesurgicaltreatmentofbenignprostatichyperplasiabybipolartransurethralresectionoftheprostate AT obloran personalizedapproachtothesurgicaltreatmentofbenignprostatichyperplasiabybipolartransurethralresectionoftheprostate |