Related Experiment Video
Updated: Jul 29, 2026
07:17
Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
Published on: May 9, 2018
[Urethral stricture after TURP and transvesical prostatectomy]
1Urologische Abteilung, Landeskrankenhaus Leoben, Osterreich.
Der Urologe. Ausg. A
|November 1, 1992
Summary
The primary risk factor for urethral stricture after transurethral prostate resection is an indwelling catheter for over three days. Transvesical prostatectomy shows a lower stricture incidence, suggesting it may be preferable for severe prostatic hyperplasia.
Area of Science:
- Urology
- Surgical Outcomes
- Postoperative Complications
Context:
- Transurethral resection of the prostate (TURP) is a common procedure for benign prostatic hyperplasia.
- Urethral stricture is a known complication following TURP.
- Identifying predisposing factors is crucial for improving patient outcomes.
Purpose:
- To prospectively identify risk factors for urethral stricture after TURP.
- To compare the incidence of urethral stricture between TURP and transvesical prostatectomy (TVP).
Summary:
- A prospective study followed 178 patients for 12-20 months after TURP, assessing 11 potential risk factors.
- Urethral stricture occurred in 14.04% of TURP patients.
- The only statistically significant risk factor identified was the use of an indwelling catheter for more than 3 days.
- Comparison with 73 patients undergoing TVP revealed a significantly lower stricture rate (1.36%).
Impact:
- Prolonged catheterization is a modifiable risk factor for post-TURP urethral stricture.
- Transvesical prostatectomy appears to have a lower risk of urethral stricture compared to TURP.
- These findings suggest TVP may be a safer alternative for patients with pronounced prostatic hyperplasia, potentially reducing urethral ischemia and injury.
Related Concept Videos
01:16Urethra
The urethra is a hollowed tubular organ through which urine is expelled from the body. This structure extends from the bladder to the external opening, allowing urine to be released.
The anatomy of the urethra differs between males and females. In females, the urethra is short, measuring about 3–4 cm in length, and opens anterior to the vaginal opening. In males, the urethra is longer and passes through the penis, serving dual purposes: expelling urine and ejaculating semen. The male urethra is...
The anatomy of the urethra differs between males and females. In females, the urethra is short, measuring about 3–4 cm in length, and opens anterior to the vaginal opening. In males, the urethra is longer and passes through the penis, serving dual purposes: expelling urine and ejaculating semen. The male urethra is...
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...