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Reduced bleeding with DRY CUT ® transurethral resection of the prostate (TURP) compared to standard TURP.
- Source :
-
Scandinavian journal of urology [Scand J Urol] 2019 Aug; Vol. 53 (4), pp. 235-239. Date of Electronic Publication: 2019 Jul 22. - Publication Year :
- 2019
-
Abstract
- Objective: To compare bleeding and transfusion rate between patients who undergo standard transurethral resection of the prostate (TURP) and patients who undergo DRY CUT <superscript>®</superscript> TURP. Materials and methods: A retrospective comparison was made of 626 patients who underwent a standard monopolar TURP during 2004-2007 at the Karolinska University Hospital Huddinge with 620 patients who underwent monopolar DRY CUT <superscript>®</superscript> TURP during 2011-2014 at the same clinic. Transfusion rate, perioperative bleeding, prostate volume, resection weight, use of anticoagulation therapy, presence of prostate cancer, whether the operation was performed by a specialist doctor in urology or a resident and length of hospital stay were evaluated. Results: The median bleeding was 300 ml (IQR = 100-645 ml) in the group of patients who underwent standard TURP compared to 75 ml (IQR 30-268 ml) in the DRY CUT <superscript>®</superscript> TURP group. The bleeding quotient for standard TURP was 2.3-times the perioperative bleeding for DRY CUT <superscript>®</superscript> TURP. In a logistic regression model the patients who underwent standard TURP were more likely to undergo blood transfusion compared to DRY CUT <superscript>®</superscript> TURP (OR = 3.18, 95% CI = 1.72-5.88). The results were not affected by adjustment for patient age, presence of prostate cancer, anticoagulation therapy or operation performed by a specialist in urology. However, the resection weight did influence the bleeding quotient. Conclusions: The shift from standard TURP to DRY CUT <superscript>®</superscript> TURP has decreased the perioperative bleeding and need for blood transfusion at our hospital.
- Subjects :
- Aged
Aged, 80 and over
Anticoagulants therapeutic use
Electrocoagulation instrumentation
Electrosurgery instrumentation
Humans
Internship and Residency
Length of Stay statistics & numerical data
Logistic Models
Male
Middle Aged
Organ Size
Prostatic Hyperplasia complications
Prostatic Hyperplasia pathology
Prostatic Neoplasms complications
Prostatic Neoplasms pathology
Retrospective Studies
Transurethral Resection of Prostate instrumentation
Urologists statistics & numerical data
Urology education
Blood Loss, Surgical statistics & numerical data
Electrocoagulation methods
Electrosurgery methods
Erythrocyte Transfusion statistics & numerical data
Prostatic Hyperplasia surgery
Prostatic Neoplasms epidemiology
Transurethral Resection of Prostate methods
Subjects
Details
- Language :
- English
- ISSN :
- 2168-1813
- Volume :
- 53
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Scandinavian journal of urology
- Publication Type :
- Academic Journal
- Accession number :
- 31328609
- Full Text :
- https://doi.org/10.1080/21681805.2019.1637376