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Related Experiment Videos

Transurethral prostatic resection with suprapubic trocar technique.

P O Madsen, P C Frimodt-Møller

    The Journal of Urology
    |August 1, 1984
    PubMed
    Summary
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    The suprapubic trocar technique for transurethral prostatic resection eliminates resection syndrome and facilitates uninterrupted surgery. This method is recommended for its efficiency and minimal complications in treating benign prostatic hyperplasia.

    Area of Science:

    • Urology
    • Surgical Techniques

    Background:

    • Transurethral prostatic resection (TURP) is a common procedure for benign prostatic hyperplasia.
    • The transurethral resection syndrome (TURS) is a potential complication associated with TURP.
    • Traditional TURP involves a filling and emptying technique which can lead to increased intravesical pressure.

    Purpose of the Study:

    • To evaluate the efficacy and safety of using a suprapubic trocar in transurethral prostatic resection.
    • To compare the outcomes of TURP with and without the suprapubic trocar technique.

    Main Methods:

    • A retrospective study comparing 577 TURP procedures using a suprapubic trocar with 307 procedures using the conventional filling and emptying technique.
    • Data collected between 1975 and 1982.
    • Analysis of operative time, gland size resected, blood loss, and complications, including transurethral resection syndrome.

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    Main Results:

    • The suprapubic trocar technique was used for all large prostates (>30 gm).
    • No significant difference in operative time for small glands was observed.
    • Severe cases of transurethral resection syndrome were completely eliminated with the trocar technique.
    • Slightly increased blood loss was noted with the trocar technique, attributed to low prostatic fossa pressure.

    Conclusions:

    • The suprapubic trocar facilitates uninterrupted resection and maintains low bladder pressure, minimizing irrigating fluid absorption.
    • This technique effectively eliminates severe transurethral resection syndrome.
    • The suprapubic trocar is recommended for transurethral prostatic resection due to its procedural advantages and minimal complications.