Urethral stricture disease after bipolar prostatectomy: Is it a concern?

Publication date: March 2018Source: African Journal of Urology, Volume 24, Issue 1Author(s): A.A. Zamel, A.I. Kassem, T.Z. Orban, I.R. Saad, A.S. BedairAbstractIntroductionbipolar Transurethral Surgery of Prostate (BTUSP) is growing increasingly popular in the management of Benign prostatic hyperplasia related lower urinary tract symptoms (BPH-related LUTS). Compared to monopolar transurethral resection of the prostate (TURP), BTUSP has the potential advantages of less toxicity related to irrigation fluid absorption, and better hemostasis. However, there have been reports of BTUSP being associated with increased incidence of urethral stricture disease (USD). We aim at 2 years results of B-TUSP with special emphasis on USD and continence.Patients and methodsThis is a retrospective study of patients who underwent BTUSP (resection, vaporization and enucleation) for BPH-related LUTS at Cairo University Hospital from January 2013 to December 2014. Perioperative parameters were assessed. Patients were evaluated 2 years postoperative to assess international prostate symptom score (IPSS), continence, urinary tract infection (UTI) uroflowmetry and post voiding residual urine (PVR). For patients with suspicion of USD (maximum flow rate “Qmax” ≤15 ml/s, PVR ≥100 cc,), retrograde and voiding cystourethrogram and/or cystoscopy were done.ResultsA 2-years follow-up was available for 32 patients. Mean age was 66.2 ± 8.2 years. 16/32 patients ...
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research

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CONCLUSION: OAB is the most common lower urinary tract symptom in LBD often associated with detrusor overactivity, and less frequently voiding difficulties sometimes associated to prostatism. LEVEL OF EVIDENCE: 3. PMID: 32224094 [PubMed - as supplied by publisher]
Source: Progres en Urologie - Category: Urology & Nephrology Tags: Prog Urol Source Type: research
Conditions:   Radiofrequency Ablation;   Carcinoma, Hepatocellular Intervention:   Procedure: RFA using combined bipolar and monopolar energy deliver Sponsor:   Seoul National University Hospital Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Polyps Uterus Intervention:   Procedure: Polypectomy without anesthesia or analgo-sedation Sponsor:   Hopital Foch Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Prostate Obstruction;   Prostatic Hyperplasia;   Prostatic Hypertrophy, Benign Intervention:   Procedure: Bipolar Endoscopic Enucleation of the prostate Sponsor:   Benha University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
 How often do you think about death? If you’re like most people, you probably try to keep it in the back corners of your mind. But according to today’s guest, Kate Manser, remembering you might die tomorrow is the best inspiration to live today. Kate asserts that when we incorporate a certain level of mortality awareness into our daily lives, it motivates us to value life so much more and to live each day with intention. We start to find joy in the small things and live in a way that makes a positive outward ripple for all of humanity. So how do we manage to think about death without falling into fear? Tune...
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This study assessed the utility and safety of robot-assisted ISR by comparing groups of patients who underwent low anterior resection (LAR) with or without ISR and ISR extent.MethodsThis study enrolled 897 patients who underwent curative LAR between 2010 and 2017. Patients were divided into those who did (ISR+) and did not (ISR −) undergo ISR, with the former group subdivided by ISR extent (partial, subtotal, and total). Tumor recurrence and survival were compared in the two groups by one-to-one nearest neighbor matching (218 patients each).ResultsRobot-assisted ISR was performed via an entirely transabdominal approa...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
The aim of the study was to evaluate the impact of a multifaceted antimicrobial stewardship intervention on antibiotic consumption in a primary health care (PHC) area in Spain. Quasi-experimental study conducted in a PHC area with nine PHC centers, a 400-bed acute care teaching hospital, and 18 nursing homes serving a population of 260,561. The intervention was based on the 2016 CDC Core Elements of Outpatient Antibiotic Stewardship publication and targeted 130 PHC physicians, 41 PHC pediatricians, 19 emergency physicians, and 18 nursing home physicians. The components were commitment, actions for improving antibiotic pres...
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research
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Publication date: March 2018Source: African Journal of Urology, Volume 24, Issue 1Author(s): A.A. Zamel, A.I. Kassem, T.Z. Orban, I.R. Saad, A.S. BedairAbstractIntroductionbipolar Transurethral Surgery of Prostate (BTUSP) is growing increasingly popular in the management of Benign prostatic hyperplasia related lower urinary tract symptoms (BPH-related LUTS). Compared to monopolar transurethral resection of the prostate (TURP), BTUSP has the potential advantages of less toxicity related to irrigation fluid absorption, and better hemostasis. However, there have been reports of BTUSP being associated with increased incidence ...
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research
Abstract In the present study, we evaluated the safety and efficacy of immediate surgical bipolar plasmakinetic transurethral resection of the prostate (PK-TURP) for patients with benign prostatic hyperplasia (BPH) with acute urinary retention (AUR). We conducted a retrospective analysis of clinical data of BPH patients who received PK-TURP. A total of 1126 BPH patients were divided into AUR (n = 348) and non-AUR groups (n = 778). After the urethral catheters were removed, the urine white blood cell (WBC) count in the AUR group significantly increased compared with the non-AUR group (P
Source: Asian Journal of Andrology - Category: Urology & Nephrology Authors: Tags: Asian J Androl Source Type: research
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