Transurethral Bipolar Enucleation with Button electrode (B-TUEP) for the treatment of bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH). RUA’s experience
To evaluated the safety and efficacy of Transurethral Bipolar Enucleation with Button electrode (B-TUEP) for the treatment of bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH).
Between July 2011- March 2012 a single surgeon performed 50 B-TUEP.
Pre and postoperative investigation protocols included PSA dosage, IPSS, IEFF-5, QOL, Uroflowmetry with post-voiding residual urinary volume (PVR) and transrectal ultrasonography assessing prostate volume. Intraoperatively, we evaluated B-TUEP time ( enucleation and resection time). Perioperatively we evaluated Hb dosage, bladder irrigation’s time, catheterization’s time, acute urinary retention events, hospital’s stay, patient readmission and eventual endoscopic retreatments.
Three months after surgery 82% of the patients presented a significant improvement of Qmax (p<0,001). After 6 and 12 months the 80% and 83,3% of patients, respectively, maintain the significant improvement (p<0,001). About secondary endpoints: IPSS, QOL, IEFF-5 and PVR, presentented a statistical significant improvement in comparison with baseline values. We didn’t observe a significant modification of haemoglobin values before and after surgery. Bladder irrigation time was >24 h <36h for about the 80% of patients, in one case was necessary a second look haemostatic endoscopy. Hospital stay after surgery was less than 48 hours in 88% of cases. 6% of patients required to be admitted again to the hospital for haematuria and 2 others patients after six months suffered from bladder neck contracture that have been treated with TUIP. CONCLUSIONS Transurethral Enucleation of Prostate with Button electrode (B-TUEP) with Gyrus PK system is a rapid and safety technique, showing optimal outcomes. ==fine abstract==