BPH tedavisinde bipolar transüretral prostatektomi ile monopolar TUR-P’nin erken dönem sonuçlarının karşılaştırılması

Year 2013, Volume: 8 Issue: 2, 15 - 19, 01.05.2013

Salih Budak Hasan Salih Sağlam Osman Köse Şükrü Kumsar Hüseyin Aydemir

Abstract

Amaç: Çalışmamızda benign prostat hiperplazisi cerrahi tedavisinde, monopolar transuretral rezeksiyon prostatektomi TUR-P ile bipolar TUR-P’nin postoperatif erken dönem klinik sonuçlarını karşılaştırmayı amaçladık.Gereç ve Yöntemler: Kliniğimizde Eylül 2011 ile Mayıs 2012 tarihler arasında monopolar TUR-P grup M ve bipolar TUR-P grup B planlanan, her birinde 40’ar hasta bulunan iki med as M and B respectively, each containing ayrı grup oluşturuldu. Çalışmaya prostat ağırlıconsecutive 40 patients. The patients with patğı en az 30 gr olan hastalar dahil edildi, prostat ağırlığı için üst sınır kriteri kullanılmadı. Patoloji sonucu prostat kanseri çıkan hastalar çalışma dışı bırakıldı. Her iki grubun operasyon öncesi hemoglobin, hematokrit, serum Na, K, Cl düzeyleri ve operasyon sonrası ilk 2. saat ve 24. saatte ölçülen hemoglobin, hematokrit, serum Na, K, Cl düzeyleri karşılaştırıldı. Gruplar ayrıca hastanede kalma, üretral kateterizasyon ve operasyon süreleri yönünden de karşılaştırıldı.Bulgular: Her iki grupta postoperatif serum Na, K, Cl, hemoglobin ve hematokrit değerlerinde preoperatif değerlere oranla düşme olduğu saptandı. Gruplar arası karşılaştırmada serum Na, K, Cl oranlarında istatistiksel anlamlı fark saptanmadı p>0.05 . Grup B’de grup M’ye göre hemoglobin ve hematokrit düzeylerinin daha az düştüğü tespit edildi, ancak aradaki fark istatistiksel olarak anlamsızdı p>0.05 . Grup B’de grup M ile karşılaştırıldığında üretral kataterizasyon 2,4 / 2,2 gün , operasyon 47 /50 dk ve hastanede kalma sürelerinin 3,9 / 3,6 gün olduğu, aralarında istatistiksel fark olmadığı görüldü. Tüm değişkenler açısından farklılıklar p> 0,05 istatistiksel anlamlı bulunmadı.Sonuç: Sistemler arasında hemoglobin, hemotokrit ve serum elektrolit düzeylerine etki yönünden fark yoktur. Bipolar TUR-P ve Monopolar TUR-P sistemlerinin elimizdeki verilere göre erken postoperatif dönemde etkileri benzerdir

Keywords

BPH , Bipolar TUR-P , Monopolar TUR-P , erken dönem

Comparison of the early results of bipolar transurethral prostatectomy and monopolar TUR-P in benign prostatic hyperplasia treatment

Abstract

Objectives: The aim of this study was to compare the early clinical results of monopolar transurethral resection prostatectomy TUR-P with bipolar TUR-P in the surgical treatment of BPH. Materials and Methods: Between September 2011- May 2012 we performed monopolar and bipolar TUR-P in two different groups named as M and B respectively, each containing consecutive 40 patients. The patients with pathologic diagnosis of prostate cancer were excluded from the study. Preoperative and postoperative 2 hours and 24 hours data regarding complete blood count and serum levels of Na, K, Cl values were compared to each other. Both groups were also compared in respect to hospital stay, duration of operation and urethral catheterization. Results: Postoperative values of hemoglobin, hematocrit and serum Na, K, Cl of two groups decreased significantly p0,05 . Mean duration of urethral catheterization, operation and hospital stay in group M were 2,4 days, 50 minutes and 3,9 days versus in group B 2,2 days, 47 minutes and 3,6 days respectively. The differences in respect to all variables were not significant p>0,05 . Conclusion: Bipolar TUR-P in the levels of serum electrolytes between the two methods were similar. Based on the available data, in postoperative early period of bipolar TUR-P is similar to monopolar TUR-P

Keywords

BPH , Bipolar TUR-P , Monopolar TUR-P , The early stag

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