Comparison of the transurethral resection of the prostate by traditional versus preserved urethral mucosa of the prostatic apex.

Benign Prost8-5atic Hyperplasia (BPH) is a common disease in elderly men. TURP is still the standard treatment for BPH. However, postoperative UI is still one of the complications.

This study aims to evaluate the clinical efficacy and safety of the transurethral resection of the prostate by traditional when compared with preserved urethral mucosa of the prostatic apex.

From July 2015 to June 2016 , 80 patients with TURP were included and divided into the two groups: traditional non-preserved urethral mucosa group (TURP group, n=40) and the preserved urethral mucosa of prostatic apex group (PUMPA-TURP group, n=40). This study identified the apex of the prostate and determined the cut position of mucosa. Then, we separated the preserved urethral mucosa, excised the hyperplastic prostate tissue, and trimmed the preserved urethral mucosa.

The rate of UI after PUMPA-TURP was significantly lower than that traditional TURP (0 vs. 22.5%). The operative time was significantly shorter in the PUMPA-TURP group than traditional TURP group (50 ± 16.5 min vs. 65±18.5min). The intraoperative bleeding loss was lower in the PUMPA-TURP group than traditional TURP group (280 ± 33ml vs. 190 ± 35ml). IPSS, QOL, and Qmax were similar between two groups.

When compared with traditional TURP, PUMPA-TURP can refuce the occurrence of UI and intraoperative blood loss. Besides, PUMPA-TURP could shorten the operative time.

Journal of endourology. 2020 Jan 22 [Epub ahead of print]

Qing-Li Liu, Long Yang

First Hospital of Qinhuangdao, No. 258 of Cultural North Road, Qinhuangdao, China, 066000; ., First Hospital of Qinhuangdao, Qinhuangdao, China; .