COMPARISON OF PATIENTS UNDERWENT TUR-P AND BIPOLEP IN TERMS OF POST OPERATIVE PAIN

Abstract

Objective Transurethral resection of the prostate (TUR-P) has been considered as the gold standard surgical treatment of BPH for many years. Over the past years, Bipolar Prostate Enucleation (BipolEP) has became an important alternative method compared to TUR-P for BPH treatment. In our study, we aimed to compare these two methods in terms of postoperative patient comfort, pain and analgesic use. Material and Method The data of 40 patients who underwent TURP and BipolEP procedures in our clinic between May 2022 and May 2023 were scanned. There were 20 patients in the TUR-P group and 20 patients in the BipolEP group. Pre-, intra- and postoperative features of the patients were evaluated. Pain assessments were recorded using the Visual Analogue Scale (VAS) by asking patients at 6- hour intervals pre and postoperatively. The highest VAS score was recorded during the post-operative responses. According to the answers, the most appropriate painkillers were given and their quantities were recorded. Results The mean post-operative VAS pain score was 2.9 and 3.2 in the TUR-P and BipolEP groups, respectively, and there was no significant difference between them (p= 0.684). Also, no significant difference was observed in the quantities of NSAIDs, tramadol, parasetemol and hyoscine-N-Butyl Bromide used in postoperative pain control (p=1; p=1; p=0,29; p=0,221, respectively). It was found that TUR-P and BipolEP methods were similar in terms of postoperative pain and medication requirement. Conclusion In our study, no differences were observed between the two methods in terms of postoperative pain and necessary medications.We believe that this outcome is due to the fact that they are both performed with similar equipments and since they have the same surgical indications they are performed on similar patient groups.

Keywords

• TUR-P
• BipolEP
• pain
• VAS scores

TUR-P VE BİPOLEP UYGULANAN HASTALARIN POST OPERATİF AĞRI AÇISINDAN KARŞILAŞTIRILMASI

Abstract

Amaç Transüretral prostat rezeksiyonu (TUR-P), bening prostat hiperplazisin (BPH)’de uzun yıllardır kullanılan altın standart cerrahi tedavidir. Bipolar prostat enükleasyonu (BipolEP); son yıllarda BPH tedavisinde TUR-P operasyonuna önemli bir alternatif yöntem haline gelmiştir. Çalışmamızda bu iki yöntemin post operatif hasta konforu, ağrısı ve ağrı kesici ilaç kullanımı açısından karşılaştırmayı hedefledik. Gereç ve Yöntem Mayıs 2022 ve Mayıs 2023 tarihleri arasında kliniğimizde TUR-P ve BipolEP cerrahisi yapılan 40 hastanın verileri tarandı. TUR-P grubunda 20 hasta, BipolEP grubunda 20 hasta mevcuttu. Hastaların; pre, intra ve post operatif özellikleri değerlendirildi. Hastalara pre ve post operatif 6 saat aralıklarla ağrı Vizüel Analog Skala(VAS) skorları sorularak kaydedildi. Post operatif alınan cevaplarda en yüksek VAS skoru kayıt altına alınmıştır. Cevaplara uygun ağrı kesici ilaçlar verilmiş ve adetleri kaydedilmiştir. Bulgular Post operatif VAS ağrı skoru ortalaması TUR-P ve BipolEP gruplarında sırasıyla 2,9 ve 3,2 olarak bulundu ve aralarında anlamlı fark yoktu (p: 0,684). Post operatif ağrı kontrolü için kullanılan NSAİD, tramadol, parasetemol ve hiyosin-N- Butil Bromür sayıları açısından da anlamlı fark izlenmedi (sırasıyla p=1; p=1; p=0,29; p=0,221). TUR-P ve BipolEP yöntemlerinin post operatif ağrı ve medikasyon gerekliliği açısından benzer olduğu görüldü. Sonuç Çalışmamızda her iki yöntem arasında post operatif ağrı ve gerekli medikasyon açısından bir fark izlenmemiştir. Birbirine yakın ekipmanlar ile yapılmaları, cerrahi endikasyonları aynı olan yöntemler olması ve benzer hasta gruplarına uygulanmasından dolayı iki grup arasında ağrı açısından fark olmadığını düşünmekteyiz.

Keywords

• TUR-P
• BipolEP
• Ağrı
• VAS skoru

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