Publication: Comparison of the efficacy of transurethral enucleation and resection of the prostate with transurethral resection of the prostate for medium prostate sizes
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Issued Date
2020-11-01
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ISSN
01252208
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2-s2.0-85096163163
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.103, No.11 (2020), 1208-1213
Suggested Citation
Chawin Sukapiriya, Charoen Leenanupunth Comparison of the efficacy of transurethral enucleation and resection of the prostate with transurethral resection of the prostate for medium prostate sizes. Journal of the Medical Association of Thailand. Vol.103, No.11 (2020), 1208-1213. doi:10.35755/jmedassocthai.2020.11.11502 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/60567
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Title
Comparison of the efficacy of transurethral enucleation and resection of the prostate with transurethral resection of the prostate for medium prostate sizes
Author(s)
Abstract
© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND | 2020. Objective: To compare the efficacy of the transurethral enucleation of the prostate (TUERP) to transurethral resection of the prostate (TURP) through a prospective randomized controlled trial. Materials and Methods: Between January 2016 and December 2019, 46 patients from a single center were divided into two groups, TURP and TUERP, using simple randomization. The perioperative and postoperative outcomes up to one year after surgery were evaluated. Results: The mean estimated prostate volume (PV) in the TURP and TUERP group was 40±22 mL and 41±18 mL, respectively. There were no statistical differences in the baseline characteristics between the two groups. The mean operative time was significantly longer in the TUERP group (71.95±33.96 minutes versus 50.85±26.78 minutes; p=0.024). The average weight of prostate resected in the TUERP group was higher but not statistically significant (18.87±14.95 g versus 15.15±11.07 g; p=0.39). The volume of fluid irrigation collected postoperatively was significantly lower in the TUERP group (13.98±10.01 liter versus 24.73±21.90 liter; p=0.04). No statistically significant differences were noted between the two groups in terms of the postoperative IPSS, QoL, Q max, PSA, postoperative Hct, and the length of hospital stay. Conclusion: The present study compared the surgical outcomes between the TUERP and the TURP techniques performed in medium prostate sizes. The authors concluded that TUERP resulted in a greater prostate tissue removal and, importantly, better intraoperative bleeding control.