https://doi.org/10.4081/aiua.2023.11629

Evaluation of bipolar Transurethral Enucleation and Resection of the Prostate in terms of efficiency and patient satisfaction compared to retropubic open prostatectomy in prostates larger than 80 cc. A prospective randomized study

Vol. 95 No. 4 (2023)
Submitted: August 1, 2023
Accepted: August 31, 2023
Published: November 21, 2023
TUERP, Simple retropubic prostatectomy, Complications
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Authors

Ibrahim Tagreda
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mahmoud Heikal
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Adel Elatreisy
adel.elatreisy@azhar.edu.eg
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Fawzy Salman
https://orcid.org/0000-0002-7794-5948
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed Mohamed Soliman
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ayman Kotb Koritenah
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hesham Abozied
https://orcid.org/0000-0001-8373-930X
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Ibrahim Algammal
https://orcid.org/0009-0002-0472-4914
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ahmed A. Alrefaey
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Elsalhy
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Shehab
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mahmoud Mohammed Ali
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Aly Gomaa Eid
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Abdrabuh M. Abdrabuh
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Sayed Eleweedy
Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Objectives: To compare the outcomes of bipolar Transurethral Enucleation Resection of the Prostate (TUERP) and simple retropubic prostatectomy in patients with prostate volumes larger than 80 cc. Patients and methods: A prospective randomized study included all patients amenable to surgeries for benign prostate hyperplasia (BPH) with prostate size over 80 cc at a tertiary care hospital between January 2020 to February 2022. Bipolar TUERP and Retropubic open prostatectomy techniques were compared regarding patients' demographics, intraoperative parameters, outcomes, and peri-operative complications. Results: Ninety patients were included in our study and randomly assigned to bipolar TUERP (Group 1 = 45 patients) and retropubic open prostatectomy (Group 2 = 45 patients). The TUERP group demonstrated significantly lower operative time (77 ± 11 minutes vs. 99 ± 14 minutes, p < 0.001), hemoglobin drop (median = 1.1 vs. 2.5, p < 0.001), and resected tissue weight (71 ± 6.6 cc vs. 84.5 ± 10.6 cc, p < 0.001). Postoperatively, the TUERP group demonstrated significantly lower catheter time (median = 2 vs. 7 days, p < 0.001) and less hospital stay. IPSS, Qmax, and patient satisfaction were better in the TUERP group within six months of surgery. We reported 90-day complications after TUERP in 13.3% of patients compared to 17.8% after retropubic prostatectomy, with a statistically insignificant difference. Urethral stricture predominated after TUERP, while blood transfusion dominated in retropubic prostatectomy. Conclusions: The present study found that TUERP had equivalent efficacy and safety to open retropubic prostatectomy for patients with BPH and prostate volumes > 80 ml.

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How to Cite

Tagreda, I., Heikal, M., Elatreisy, A., Salman, M. F., Soliman, A. M., Koritenah, A. K., Abozied, H., Algammal, M. I., Alrefaey, A. A., Elsalhy, M., Shehab, M., Ali, M. M., Eid, A. G., Abdrabuh, A. M., & Eleweedy, S. (2023). Evaluation of bipolar Transurethral Enucleation and Resection of the Prostate in terms of efficiency and patient satisfaction compared to retropubic open prostatectomy in prostates larger than 80 cc. A prospective randomized study. Archivio Italiano Di Urologia E Andrologia, 95(4). https://doi.org/10.4081/aiua.2023.11629
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