Comparison of Outcomes Between S-TUAEP and M-TUAEP in Benign Prostatic Hyperplasia at Rajavithi Hospital
Abstract
Objective: This study aimed to measure the outcomes in 100 patients who underwent the transurethral anatomical enucleation of the prostate (TUAEP), comparing the results between the standard TUAEP (S-TUAEP) and modified TUAEP (M-TUAEP) procedures in patients with benign prostatic hyperplasia.
Material and Methods: Fifty cases were performed in S-TUAEP, and the other 50 were performed in M-TUAEP. Each group recorded demographic data, PSA, IPSS (International Prostate Symptom Score), QOL (Quality of Life score), Uroflowmetry (UFM), Maximum Flow Rate (Qmax), operative time, blood loss, length of hospital stay, and complications.
Results: The mean operative time was 114.50±54.30 minutes in the S-TUAEP and 120.26±42.64 minutes in the M-TUAEP (p-value=0.55). The length of stay was 3.12±1.13 days in the S-TUAEP group and 2.50±0.58 days in the M-TUAEP group (p-value<0.001). The mean Qmax at 24 months showed that S-TUAEP was 21.87±7.03 and M-TUAEP was 22.24±6.97 (p-value<0.001). The median comparison of QOL at 24 months between the S-TAUEP and the M-TUAEP was 1 (0.2) and 0 (0.2), respectively (p-value=0.01).
Conclusion: The present study reported no statistically significant differences in perioperative outcomes between the two groups. However, a better functional outcome was observed in the M-TUAEP group. More TUAEP cases are required to observe the long-term consequences.
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Strebel RT, Kaplan SA. The state of TURP through a historical lens. World J Urol 2021;39:2255-62. doi: 10.1007/s00345-021-03607-7.
Reich O, Gratzke, Bachmann A, Seitz M, Schlenker B, Hermanek P. Morbidity, mortality, and early outcome of transurethral resection of the prostate: a prospective multicentre evaluation of 10,654 patients. J Urol 2008;180:246–9.
Madsen PO, Madsen RE. Clinical and experimental evaluation of different irrigating fluids for transurethral surgery. Invest Urol 1965;3:122–9.
Thaidumrong T, Duangkae S, Jiramanee V, Kalapong J, Pisansalhidikam P, Tuipae K. Transurethral anatomical enucleation of prostate (TUAEP) in benign prostatic hyperplasia with bipolar system: first study in Thailand. J Med Assoc Thai 2019;102(Suppl4):20-5.
Neill MG, Gilling PJ, Kennett KM, Frampton CM, Westenberg AM, Fraundorfer MR, et al. Randomized trial comparing holmium laser enucleation of prostate with plasmakinetic enucleation of prostate for treatment of benign prostatic hyperplasia. Urol Nov 2006;68:1020–4.
Thanyarat C, Thaidumrong T, Thanchanok K, Kiattikoon S. Comparison of Irrigating Fluid Absorption in Bipolar Transurethral Resection of Prostate and Transurethral Anatomical Enucleation of Prostate: a Prospective Non-randomized Control Trial. Thai J Anesthesiol 2023;49:73-80.
Wei Y, Xu N, Chen SH, Li XD, Zheng QS, Lin YZ. Bipolar transurethral enucleation and resection of the prostate versus bipolar resection of the prostate for prostates larger than 60 g: a retrospective study at a single academic tertiary care center. Int Braz J Urol 2016;42:747–56.
Chunxiao Liu, Shaobo Zheng, Hulin Li, Kai Xu. Transurethral enucleation and resection of prostate in patients with Benign Prostatic Hyperplasia by Plasma Kinetics. J Urol 2010;184:2440-5.
Gosrisirikul C. Insight Surgical outcomes of Holmium laser enucleation of the prostate (HoLEP) versus bipolar transurethral enucleation of the prostate (B-TUEP) in benign prostatic hyperplasia patients. Insight Urol 2024;45:89-95.
Zhao Z, Zeng G, Zhong W, Mai Z, Zeng S, Tao X. A prospective, randomised trial comparing plasmakinetic enucleation to standard transurethral resection of the prostate for symptomatic benign prostatic hyperplasia: three-year follow-up results. Eur Urol 2010;58:752–8.
Sa-nguancharoenpong J studied the association between postoperative pyuria levels and urinary tract infections in patients undergoing Transurethral Anatomical Enucleation of the Prostate (TUAEP) at Rajavithi Hospital. Insight Urol 2023;44:1-6.
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