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Reduced bleeding with DRY CUT® transurethral resection of the prostate (TURP) compared to standard TURP.
- Source :
- Scandinavian Journal of Urology (Taylor & Francis Ltd); Aug2019, Vol. 53 Issue 4, p235-239, 5p
- 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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 21681805
- Volume :
- 53
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Scandinavian Journal of Urology (Taylor & Francis Ltd)
- Publication Type :
- Academic Journal
- Accession number :
- 138250852
- Full Text :
- https://doi.org/10.1080/21681805.2019.1637376