Comparison of outpatient versus inpatient transurethral prostate resection for benign prostatic hyperplasia: Comparative, prospective bi-centre study
Identifieur interne : 000268 ( Pmc/Corpus ); précédent : 000267; suivant : 000269Comparison of outpatient versus inpatient transurethral prostate resection for benign prostatic hyperplasia: Comparative, prospective bi-centre study
Auteurs : Jae Heon Kim ; Jae Young Park ; Ji Sung Shim ; Jeong Gu Lee ; Du Geon Moon ; Jeong Woo Yoo ; Hoon Choi ; Jae Hyun BaeSource :
- Canadian Urological Association Journal [ 1911-6470 ] ; 2014.
Abstract
We compare the symptomatic relief with urodynamic parameter change and operative safety of the outpatient transurethral resection in saline (TURIS-V) technique with inpatient transurethral resection of the prostate (TURP) for the management of benign prostatic hyperplasia (BPH).
This prospective cohort comparison study enrolled patients who needed BPH surgery. Between January 2010 and June 2011, outpatient TURIS-V was performed at 1 centre and the results of the treatment were compared with inpatient TURP performed at a separate hospital. Preoperative characteristics, including prostate volume, were similar in both groups. Perioperative data and any treatment complications were recorded. The analysis compared postoperative outcomes, including a 6-month postoperative International Prostate Symptom Score (IPSS), a quality of life (QoL) evaluation and a record of any changes in uroflowmetry findings, between the 2 groups.
In the TURIS-V patient group, 75 patients agreed to be in the study. Of these, 69 ultimately complete the study. In the TURP group, 76 patients agreed and 71 of these completed the study. Both study groups were well-matched for age, IPSS, QoL and uroflowmetry findings. The TURIS-V group experienced both shorter operation times (54.6 vs. 74.8 minutes) and shorter catheterization times (2.2 vs. 4.2 days) when compared to the TURP group. There were comparable improvements in the 6-month postoperative IPSS, QoL, and uroflowmetry findings between the 2 groups. There were also equally low incidence rates of procedural complications.
Both TURIS-V and TURP relieve lower urinary tract symptoms in a similar way, with great efficacy and safety. Overall, TURIS-V had shorter operative and catheterization times compared to TURP. Notwithstanding the paper’s limitations (non- randomized cohort comparison with possible selection or surgeon bias and small heterogeneous sample size), TURIS-V can be performed safely even in an outpatient setting.
Url:
DOI: 10.5489/cuaj.1370
PubMed: 24454598
PubMed Central: 3896556
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PMC:3896556Le document en format XML
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<author><name sortKey="Kim, Jae Heon" sort="Kim, Jae Heon" uniqKey="Kim J" first="Jae Heon" last="Kim">Jae Heon Kim</name>
<affiliation><nlm:aff id="af1-cuaj-1-2-e30">Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea;</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Park, Jae Young" sort="Park, Jae Young" uniqKey="Park J" first="Jae Young" last="Park">Jae Young Park</name>
<affiliation><nlm:aff id="af1-cuaj-1-2-e30">Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea;</nlm:aff>
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<author><name sortKey="Shim, Ji Sung" sort="Shim, Ji Sung" uniqKey="Shim J" first="Ji Sung" last="Shim">Ji Sung Shim</name>
<affiliation><nlm:aff id="af1-cuaj-1-2-e30">Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea;</nlm:aff>
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<author><name sortKey="Lee, Jeong Gu" sort="Lee, Jeong Gu" uniqKey="Lee J" first="Jeong Gu" last="Lee">Jeong Gu Lee</name>
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<author><name sortKey="Moon, Du Geon" sort="Moon, Du Geon" uniqKey="Moon D" first="Du Geon" last="Moon">Du Geon Moon</name>
<affiliation><nlm:aff id="af2-cuaj-1-2-e30">Department of Urology, Korea University College of Medicine, Seoul, Korea</nlm:aff>
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<author><name sortKey="Yoo, Jeong Woo" sort="Yoo, Jeong Woo" uniqKey="Yoo J" first="Jeong Woo" last="Yoo">Jeong Woo Yoo</name>
<affiliation><nlm:aff id="af1-cuaj-1-2-e30">Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea;</nlm:aff>
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<author><name sortKey="Choi, Hoon" sort="Choi, Hoon" uniqKey="Choi H" first="Hoon" last="Choi">Hoon Choi</name>
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<author><name sortKey="Bae, Jae Hyun" sort="Bae, Jae Hyun" uniqKey="Bae J" first="Jae Hyun" last="Bae">Jae Hyun Bae</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Comparison of outpatient versus inpatient transurethral prostate resection for benign prostatic hyperplasia: Comparative, prospective bi-centre study</title>
<author><name sortKey="Kim, Jae Heon" sort="Kim, Jae Heon" uniqKey="Kim J" first="Jae Heon" last="Kim">Jae Heon Kim</name>
<affiliation><nlm:aff id="af1-cuaj-1-2-e30">Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea;</nlm:aff>
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<author><name sortKey="Park, Jae Young" sort="Park, Jae Young" uniqKey="Park J" first="Jae Young" last="Park">Jae Young Park</name>
<affiliation><nlm:aff id="af1-cuaj-1-2-e30">Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea;</nlm:aff>
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<author><name sortKey="Shim, Ji Sung" sort="Shim, Ji Sung" uniqKey="Shim J" first="Ji Sung" last="Shim">Ji Sung Shim</name>
<affiliation><nlm:aff id="af1-cuaj-1-2-e30">Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea;</nlm:aff>
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<author><name sortKey="Lee, Jeong Gu" sort="Lee, Jeong Gu" uniqKey="Lee J" first="Jeong Gu" last="Lee">Jeong Gu Lee</name>
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<author><name sortKey="Moon, Du Geon" sort="Moon, Du Geon" uniqKey="Moon D" first="Du Geon" last="Moon">Du Geon Moon</name>
<affiliation><nlm:aff id="af2-cuaj-1-2-e30">Department of Urology, Korea University College of Medicine, Seoul, Korea</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Yoo, Jeong Woo" sort="Yoo, Jeong Woo" uniqKey="Yoo J" first="Jeong Woo" last="Yoo">Jeong Woo Yoo</name>
<affiliation><nlm:aff id="af1-cuaj-1-2-e30">Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea;</nlm:aff>
</affiliation>
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<author><name sortKey="Choi, Hoon" sort="Choi, Hoon" uniqKey="Choi H" first="Hoon" last="Choi">Hoon Choi</name>
<affiliation><nlm:aff id="af1-cuaj-1-2-e30">Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea;</nlm:aff>
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<author><name sortKey="Bae, Jae Hyun" sort="Bae, Jae Hyun" uniqKey="Bae J" first="Jae Hyun" last="Bae">Jae Hyun Bae</name>
<affiliation><nlm:aff id="af1-cuaj-1-2-e30">Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea;</nlm:aff>
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<series><title level="j">Canadian Urological Association Journal</title>
<idno type="ISSN">1911-6470</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction:</title>
<p>We compare the symptomatic relief with urodynamic parameter change and operative safety of the outpatient transurethral resection in saline (TURIS-V) technique with inpatient transurethral resection of the prostate (TURP) for the management of benign prostatic hyperplasia (BPH).</p>
</sec>
<sec><title>Methods:</title>
<p>This prospective cohort comparison study enrolled patients who needed BPH surgery. Between January 2010 and June 2011, outpatient TURIS-V was performed at 1 centre and the results of the treatment were compared with inpatient TURP performed at a separate hospital. Preoperative characteristics, including prostate volume, were similar in both groups. Perioperative data and any treatment complications were recorded. The analysis compared postoperative outcomes, including a 6-month postoperative International Prostate Symptom Score (IPSS), a quality of life (QoL) evaluation and a record of any changes in uroflowmetry findings, between the 2 groups.</p>
</sec>
<sec><title>Results:</title>
<p>In the TURIS-V patient group, 75 patients agreed to be in the study. Of these, 69 ultimately complete the study. In the TURP group, 76 patients agreed and 71 of these completed the study. Both study groups were well-matched for age, IPSS, QoL and uroflowmetry findings. The TURIS-V group experienced both shorter operation times (54.6 vs. 74.8 minutes) and shorter catheterization times (2.2 vs. 4.2 days) when compared to the TURP group. There were comparable improvements in the 6-month postoperative IPSS, QoL, and uroflowmetry findings between the 2 groups. There were also equally low incidence rates of procedural complications.</p>
</sec>
<sec><title>Conclusions:</title>
<p>Both TURIS-V and TURP relieve lower urinary tract symptoms in a similar way, with great efficacy and safety. Overall, TURIS-V had shorter operative and catheterization times compared to TURP. Notwithstanding the paper’s limitations (non- randomized cohort comparison with possible selection or surgeon bias and small heterogeneous sample size), TURIS-V can be performed safely even in an outpatient setting.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Can Urol Assoc J</journal-id>
<journal-id journal-id-type="iso-abbrev">Can Urol Assoc J</journal-id>
<journal-id journal-id-type="publisher-id">CUAJ</journal-id>
<journal-title-group><journal-title>Canadian Urological Association Journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">1911-6470</issn>
<publisher><publisher-name>Canadian Medical Association</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24454598</article-id>
<article-id pub-id-type="pmc">3896556</article-id>
<article-id pub-id-type="doi">10.5489/cuaj.1370</article-id>
<article-id pub-id-type="publisher-id">cuaj-1-2-e30</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Comparison of outpatient versus inpatient transurethral prostate resection for benign prostatic hyperplasia: Comparative, prospective bi-centre study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Jae Heon</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-cuaj-1-2-e30"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Park</surname>
<given-names>Jae Young</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-cuaj-1-2-e30"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Shim</surname>
<given-names>Ji Sung</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-cuaj-1-2-e30"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lee</surname>
<given-names>Jeong Gu</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-cuaj-1-2-e30"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moon</surname>
<given-names>Du Geon</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af2-cuaj-1-2-e30"><sup>¥</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yoo</surname>
<given-names>Jeong woo</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-cuaj-1-2-e30"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Choi</surname>
<given-names>Hoon</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-cuaj-1-2-e30"><sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bae</surname>
<given-names>Jae Hyun</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="af1-cuaj-1-2-e30"><sup>*</sup>
</xref>
<xref ref-type="corresp" rid="c1-cuaj-1-2-e30"></xref>
</contrib>
</contrib-group>
<aff id="af1-cuaj-1-2-e30"><label>*</label>
Department of Urology, Soonchunhyang University College of Medicine, Seoul, Korea;</aff>
<aff id="af2-cuaj-1-2-e30"><label>¥</label>
Department of Urology, Korea University College of Medicine, Seoul, Korea</aff>
<author-notes><corresp id="c1-cuaj-1-2-e30">Correspondence: Dr. Jae Hyun Bae, Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, 123 Jeokgeum-ro, Danwon-gu, Ansan 425-707, Korea; fax: +82-31-412-5194; <email>urobae@genetherapy.or.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Jan-Feb</season>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>14</day>
<month>1</month>
<year>2014</year>
</pub-date>
<volume>8</volume>
<issue>1-2</issue>
<fpage>E30</fpage>
<lpage>E35</lpage>
<permissions><copyright-statement>Copyright: © 2014 Canadian Urological Association or its licensors</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><sec><title>Introduction:</title>
<p>We compare the symptomatic relief with urodynamic parameter change and operative safety of the outpatient transurethral resection in saline (TURIS-V) technique with inpatient transurethral resection of the prostate (TURP) for the management of benign prostatic hyperplasia (BPH).</p>
</sec>
<sec><title>Methods:</title>
<p>This prospective cohort comparison study enrolled patients who needed BPH surgery. Between January 2010 and June 2011, outpatient TURIS-V was performed at 1 centre and the results of the treatment were compared with inpatient TURP performed at a separate hospital. Preoperative characteristics, including prostate volume, were similar in both groups. Perioperative data and any treatment complications were recorded. The analysis compared postoperative outcomes, including a 6-month postoperative International Prostate Symptom Score (IPSS), a quality of life (QoL) evaluation and a record of any changes in uroflowmetry findings, between the 2 groups.</p>
</sec>
<sec><title>Results:</title>
<p>In the TURIS-V patient group, 75 patients agreed to be in the study. Of these, 69 ultimately complete the study. In the TURP group, 76 patients agreed and 71 of these completed the study. Both study groups were well-matched for age, IPSS, QoL and uroflowmetry findings. The TURIS-V group experienced both shorter operation times (54.6 vs. 74.8 minutes) and shorter catheterization times (2.2 vs. 4.2 days) when compared to the TURP group. There were comparable improvements in the 6-month postoperative IPSS, QoL, and uroflowmetry findings between the 2 groups. There were also equally low incidence rates of procedural complications.</p>
</sec>
<sec><title>Conclusions:</title>
<p>Both TURIS-V and TURP relieve lower urinary tract symptoms in a similar way, with great efficacy and safety. Overall, TURIS-V had shorter operative and catheterization times compared to TURP. Notwithstanding the paper’s limitations (non- randomized cohort comparison with possible selection or surgeon bias and small heterogeneous sample size), TURIS-V can be performed safely even in an outpatient setting.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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