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[Transurethral resection of the prostate].

C Füllhase1

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Summary

Transurethral resection of the prostate (TURP) is the standard surgical treatment for benign prostatic hyperplasia (BPH) due to its efficacy and low morbidity. Bipolar TURP may offer advantages regarding complications compared to monopolar TURP.

Keywords:
Lower urinary tract symptomsProstatic hyperplasiaSurgeryTherapeuticsTransurethral resection of prostate

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Area of Science:

  • Urology
  • Surgical Procedures

Background:

  • Benign prostatic hyperplasia (BPH) is a common condition necessitating urological consultation.
  • Transurethral resection of the prostate (TURP) is the predominant surgical treatment for BPH in Germany, utilized in 84% of cases.
  • TURP's popularity stems from its robust technique, high efficacy, and favorable risk-benefit profile.

Purpose of the Study:

  • To review the efficacy and complications of transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH).
  • To compare the clinical outcomes and safety of monopolar versus bipolar TURP.

Main Methods:

  • Review of existing literature and meta-analyses on TURP for BPH.
  • Analysis of complication rates, including clot retention and urethral strictures.
  • Comparison of efficacy metrics such as Qmax and International Prostate Symptom Score (IPSS).

Main Results:

  • TURP yields a mean Qmax of 19-20 ml/s and a mean IPSS of 6.
  • BPH recurrence rates post-TURP range from 2-7% within 8-22 years.
  • Bipolar TURP demonstrates potential advantages concerning complications compared to monopolar TURP, although both have established efficacy.
  • Clot retention (1-5%) and urethral strictures (2-9%) are the most common complications, respectively.

Conclusions:

  • TURP remains the gold standard for surgical BPH management.
  • Proper surgical technique is crucial for minimizing TURP-related complications.
  • Bipolar TURP may offer a safer alternative with comparable efficacy to monopolar TURP.