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

Ibrahim  Tagreda; Mahmoud Heikal; Adel Elatreisy; Mohamed Fawzy Salman; Ahmed Mohamed Soliman; Ayman Kotb Koritenah; Hesham  Abozied; Mohamed Ibrahim Algammal; Ahmed A. Alrefaey; Mohamed Elsalhy; Mohamed Shehab; Mahmoud Mohammed Ali; Aly Gomaa Eid; Abdrabuh M. Abdrabuh; Sayed Eleweedy

doi:10.4081/aiua.2023.11629

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 Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. https://orcid.org/0000-0002-7794-5948
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 Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. https://orcid.org/0000-0001-8373-930X
Mohamed Ibrahim Algammal Urology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. https://orcid.org/0009-0002-0472-4914
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, Q_max, 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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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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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

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