| Perioperative management of transurethral surgery for benign prostatic hyperplasia: A nationwide survey in Japan. | |
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MedLine Citation:
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PMID: 21276084 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objectives: Various types of minimally invasive surgical treatments, including transurethral resection of prostate (TURP), are being carried out in Japan for patients with benign prostatic hyperplasia (BPH). The aim of the present study was to elucidate the current status of perioperative care for these treatments by carrying out a nationwide survey. Methods: Assisted by the Japanese Endourology and ESWL Association, perioperative data from 157 institutions participating in this survey were collected and analyzed. Results: This survey included 3918 patients undergoing TURP, 242 TUR in saline (TURis), 638 holmium laser enucleation of the prostate (HoLEP), 90 holmium laser ablation (HoLAP) and 241 photoselective vaporization (PVP). Mean operative time was shorter in TURP (71 min) and longer in HoLEP (127). Although no transfusions were required in cases undergoing HoLAP or PVP, blood was frequently transfused in those undergoing TURis (25.6%), TURP (10.2%) and HoLEP (7.8%), and the difference was significant. During the hospital stay, the incidence of TUR-syndrome, postoperative bleeding requiring bladder irrigation, acute urinary retention/difficulty on micturition and pad use at discharge was highest in TURP (2.3%), TURis (7.9%), HoLAP (16.7%) and HoLEP (15.1%), respectively. Two patients undergoing TURP died (0.05%). The shortest mean postoperative hospital stay was for PVP (1.6 days, even if the readmission rate within 90 days was the highest in this same group; 6.2%). Perioperative care during hospital stay varied among the five types of procedures. Conclusions: This survey provides useful documentation on the current status of minimally invasive treatments for BPH in Japan. Complication rates for TURP are not significantly higher as compared with other procedures. Thus, TURP can still be considered as the gold standard for BPH treatment. |
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Authors:
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Kikuo Okamura; Yoshikatsu Nojiri; Narihito Seki; Yoichi Arai; Tadashi Matsuda; Ryohei Hattori; Tomonori Hasegawa; Seiji Naito |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-1-30 |
Journal Detail:
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Title: International journal of urology : official journal of the Japanese Urological Association Volume: - ISSN: 1442-2042 ISO Abbreviation: - Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-1-31 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9440237 Medline TA: Int J Urol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 The Japanese Urological Association. |
Affiliation:
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Division of Urology, Department of Surgery and Intensive Care, National Center for Geriatrics and Gerontology, Obu, Aichi Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka Department of Urology, Graduate School of Medicine, Tohoku University, Sendai, Miyagi Department of Urology and Andrology, Kansai Medical University, Hirakata, Osaka Department of Urology, Nagoya University Graduate School of Medicine, Nagoya, Aichi Department of Public Health, Toho University School of Medicine, Tokyo, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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