Ann Geriatr Med Res.  2017 Dec;21(4):206-209. 10.4235/agmr.2017.21.4.206.

Initial Experience With Transurethral Enucleation With Bipolar Energy for Benign Prostatic Hyperplasia

• Kim DY
• Park DH
• Hwang CH
• Lee JB
• Yoon JH
• Jeong TW
• Na W

• KMID: 2401136
• DOI: http://doi.org/10.4235/agmr.2017.21.4.206

Abstract

BACKGROUND
This retrospective study examined the safety and efficacy of transurethral enucleation with bipolar energy (TUEB) for benign prostatic hyperplasia (BPH), based on initial experiences.
METHODS
In this study, 2 surgeons performed TUEB on 23 patients between January 2014 and April 2017. The International Prostate Symptom Score (IPSS), quality of life (QoL), digital rectal examination, transrectal ultrasonography, prostate-specific antigen (PSA) levels, maximum flow rate (Qmax), and postvoid residual urine (PVR) were used as variables. Resected prostate volume (g), resection time, efficiency of resection, change in hemoglobin, and indwelling Foley catheter duration were used to assess the efficacy of TUEB. Foley catheter reinsertion rate, occurrence of urethral or bladder neck stricture, urinary incontinence, and bladder injury were evaluated as complications of TUEB.
RESULTS
Mean age was 70.3±8.3 years. Mean prostate volume was 55.1±33.9 g. Preoperative and 1-month postoperative PSA, IPSS, QoL, Qmax, and PVR data were collected and showed significant difference. Resected prostate volume, resection time, resection efficiency, indwelling Foley catheter duration, and change in hemoglobin values were 22.9±14.7 g, 109.6±60.3 minutes, 0.23±0.13 g/min, 4.7±4.7 days, and 0.9±0.7 g/dL, respectively. Following TUEB, incontinence occurred in 2 patients and acute urinary retention in 2 (8.7%).
CONCLUSION
Our initial experience suggests that TUEB is efficient and safe for patients with BPH. However, the study was limited by the small number of subjects.

Keyword

Benign prostatic hyperplasia; Transurethral enucleation with bipolar

MeSH Terms

Catheters
Constriction, Pathologic
Digital Rectal Examination
Humans
Neck
Prostate
Prostate-Specific Antigen
Prostatic Hyperplasia*
Quality of Life
Retrospective Studies
Surgeons
Ultrasonography
Urinary Bladder
Urinary Incontinence
Urinary Retention
Prostate-Specific Antigen