Role of suprapubic drainage in the transurethral resection of prostate (TUR-P)

We assessed some clinical parameters and biochemical changes during TUR-P under suprapubic trocar aspiration system with suction. 18 patients underwent TUR-P with active aspiration and other 17 using Iglesias type resectoscope. The mean values of Sodium, Potassium and hematocrite did not differ sign...

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Bibliographic Details
Published inGeorgian medical news no. 137; p. 13
Main Authors Silagava, D, Tchanturaia, Z, Managadze, L
Format Journal Article
LanguageEnglish
Published Georgia (Republic) 01.08.2006
Subjects
Aged
Aged, 80 and over
Biomarkers - blood
Cystostomy - methods
Drainage - instrumentation
Humans
Male
Middle Aged
Potassium - blood
Prostate - surgery
Prostatic Hyperplasia - surgery
Sodium - blood
Suction - instrumentation
Transurethral Resection of Prostate - methods
Treatment Outcome
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Summary:We assessed some clinical parameters and biochemical changes during TUR-P under suprapubic trocar aspiration system with suction. 18 patients underwent TUR-P with active aspiration and other 17 using Iglesias type resectoscope. The mean values of Sodium, Potassium and hematocrite did not differ significantly between the groups before surgery and 20 minutes after the beginning of resection. At the end of surgical intervention changes in hematocrit values were insignificant and blood electrolyte showed marginal statistical difference. The mean time of operation and resection in study group was 45.38 min and 37.31 min respectively, and in control group 56.25 min and 47.83 min respectively. Average weight of resected prostate tissue in study group was 67.92 g versus 58.75 g in control group. The time needed for the resection of 1 g prostate in a study group was 0.55 min versus 0.81 min in control group (p=0.05). The time needed for the removing of 1 g prostate tissue was 0.67 min and 0.96 min respectively (p<0.01). Our data supports that suprapubic trocar suction reduces the duration of the operation on the other hand, the mean time to remove one gram of prostate is much shorter comparing to conventional technique.
ISSN:1512-0112