https://doi.org/10.4081/aiua.2023.11868

The role of irrigation fluid in transurethral resection of the prostate outcomes and surgeon performance

Vol. 95 No. 4 (2023)
Submitted: September 23, 2023
Accepted: October 13, 2023
Published: November 15, 2023
Prostate, Benign Prostatic Hyperplasia, Obstruction
Abstract Views: 986
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Authors

Federico Romantini
federomantini@gmail.com
https://orcid.org/0000-0002-0233-6654
Mazzini Hospital, Department of Urology, ASL Teramo, Teramo, Italy.
Daniela Biferi
Mazzini Hospital, Department of Urology, ASL Teramo, Teramo, Italy.
Guevar Maselli
Mazzini Hospital, Department of Urology, ASL Teramo, Teramo, Italy.
Federico Narcisi
Mazzini Hospital, Department of Urology, ASL Teramo, Teramo, Italy.
Maurizio Ranieri
Mazzini Hospital, Department of Urology, ASL Teramo, Teramo, Italy.
Luca Topazio
Mazzini Hospital, Department of Urology, ASL Teramo, Teramo, Italy.

Introduction: Transurethral resection of the prostate (TURP) is the gold-standard for the treatment of benign prostate enlargement (BPE) associated with lower urinary tract symptoms (LUTS), after failure of conservative therapy. At present, only resection-rate (grams of prostate resected over time) is regarded as an efficiency parameter to evaluate the skill of the operator and to assess the outcome of the procedure. Materials and methods: Five surgeons performed TURP using a Gyrus-type bipolar system in 123 patients with BPE/LUTS who came to our observation from June 2016 to December 2019. The amount of irrigation fluid used during the procedure was registered and correlated to the operating time, resection-rate, prostate adenoma weight, post-operative bladder irrigation time, intraoperative bleeding and days of catheterization. Results: We found an inverse correlation between the amount of irrigation fluid used during TURP and the resection-rate recorded for all operators, according to Spearman's Correlation (r = -0.78, p = 0.002); a direct correlation was also found between the amount of irrigation fluid and the adenoma weight. Finally, we also found a direct correlation with intraoperative bleeding and the duration and amount of bladder irrigation during and after TURP. Conclusions: The amount of irrigation fluid used is proposed as a reliable parameter to estimate the efficiency of the endoscopic procedure as well to assess the skill of the operator and shortterm results. The observed data encourage the possibility of applying this new efficiency indicator to all endoscopic maneuvers.

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How to Cite

Romantini, F., Biferi, D., Maselli, G., Narcisi, F., Ranieri, M., & Topazio, L. (2023). The role of irrigation fluid in transurethral resection of the prostate outcomes and surgeon performance. Archivio Italiano Di Urologia E Andrologia, 95(4). https://doi.org/10.4081/aiua.2023.11868
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