E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Safety and effectiveness of bipolar transurethral resection of prostate in managing large size glands in the oldest old: A retrospective analysis

Priyanka Rai, Rohit Srivastava, Sunil Kumar Singh, Alok Srivastava.

Abstract
Aims and Objectives: The study was performed to evaluate the efficacy and safety of bipolar transurethral resection of prostate (BP-TURP) in the oldest old (>85yrs) with large glands.
Methods: Patients of age >85 years and gland size >60 g, who were operated for Benign Prostatic Hyperplasia (BPH) (BP-TURP) at our institution from January 2014 to January 2018 , were included in the study and data was collected retrospectively. Exclusion criteria were any evidence of suspected neurogenic bladder, bladder cancer, increased serum prostate specific antigen (PSA) (> 4 ng/ml) & history of urethral or prostatic surgery. The patients were divided into two groups according to gland size, one was with an estimated size of >60 g but ‚ȧ90 g (Group 1) and the other with >90g (Group 2). Pearsonís Chi square test was used to test for the significant differences for categorical data and Student t test and Mann Whitney U test for continuous variables. The difference was considered significant if p value was <0.05.
Results: The baseline parameters of the groups were almost similar with more than 50% of patients in both groups being of American Society of Anesthesiologists (ASA) grade 3 or more. Fall in haemoglobin and serum sodium levels, operative time, quantity of saline infusion used, weight of resected tissue, time to removal of catheter and hospital stay were significantly more in group 2. The follow up data indicates significant improvement in International Prostate Symptom Score (IPSS), quality of life due to urinary symptoms (QoL), post void residue (PVR) and maximum urinary flow rate in uroflowmetry (Q -max) in both groups as compared to baseline with low and acceptable complication rates. Limitation was the study being a single centre series and short follow up.
Conclusion: Elderly patients (>85 years) with large glands can be safely treated with BP -TURP with good outcomes and low complication rates.

Key words: Oldest old, large gland, Bipolar TURP


 
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How to Cite this Article
Pubmed Style

Rai P, Srivastava R, Singh SK, Srivastava A. Safety and effectiveness of bipolar transurethral resection of prostate in managing large size glands in the oldest old: A retrospective analysis. Int J Surg Med. 2020; 6(3): 23-29. doi:10.5455/ijsm.Bipolar-Transurethral-Resection-Prostate


Web Style

Rai P, Srivastava R, Singh SK, Srivastava A. Safety and effectiveness of bipolar transurethral resection of prostate in managing large size glands in the oldest old: A retrospective analysis. http://www.ejos.org/?mno=107213 [Access: August 11, 2020]. doi:10.5455/ijsm.Bipolar-Transurethral-Resection-Prostate


AMA (American Medical Association) Style

Rai P, Srivastava R, Singh SK, Srivastava A. Safety and effectiveness of bipolar transurethral resection of prostate in managing large size glands in the oldest old: A retrospective analysis. Int J Surg Med. 2020; 6(3): 23-29. doi:10.5455/ijsm.Bipolar-Transurethral-Resection-Prostate



Vancouver/ICMJE Style

Rai P, Srivastava R, Singh SK, Srivastava A. Safety and effectiveness of bipolar transurethral resection of prostate in managing large size glands in the oldest old: A retrospective analysis. Int J Surg Med. (2020), [cited August 11, 2020]; 6(3): 23-29. doi:10.5455/ijsm.Bipolar-Transurethral-Resection-Prostate



Harvard Style

Rai, P., Srivastava, . R., Singh, . S. K. & Srivastava, . A. (2020) Safety and effectiveness of bipolar transurethral resection of prostate in managing large size glands in the oldest old: A retrospective analysis. Int J Surg Med, 6 (3), 23-29. doi:10.5455/ijsm.Bipolar-Transurethral-Resection-Prostate



Turabian Style

Rai, Priyanka, Rohit Srivastava, Sunil Kumar Singh, and Alok Srivastava. 2020. Safety and effectiveness of bipolar transurethral resection of prostate in managing large size glands in the oldest old: A retrospective analysis. International Journal of Surgery and Medicine, 6 (3), 23-29. doi:10.5455/ijsm.Bipolar-Transurethral-Resection-Prostate



Chicago Style

Rai, Priyanka, Rohit Srivastava, Sunil Kumar Singh, and Alok Srivastava. "Safety and effectiveness of bipolar transurethral resection of prostate in managing large size glands in the oldest old: A retrospective analysis." International Journal of Surgery and Medicine 6 (2020), 23-29. doi:10.5455/ijsm.Bipolar-Transurethral-Resection-Prostate



MLA (The Modern Language Association) Style

Rai, Priyanka, Rohit Srivastava, Sunil Kumar Singh, and Alok Srivastava. "Safety and effectiveness of bipolar transurethral resection of prostate in managing large size glands in the oldest old: A retrospective analysis." International Journal of Surgery and Medicine 6.3 (2020), 23-29. Print. doi:10.5455/ijsm.Bipolar-Transurethral-Resection-Prostate



APA (American Psychological Association) Style

Rai, P., Srivastava, . R., Singh, . S. K. & Srivastava, . A. (2020) Safety and effectiveness of bipolar transurethral resection of prostate in managing large size glands in the oldest old: A retrospective analysis. International Journal of Surgery and Medicine, 6 (3), 23-29. doi:10.5455/ijsm.Bipolar-Transurethral-Resection-Prostate