Department of Surgery, College of Medicine of University of Lagos, Idi-Araba, Lagos, Nigeria / Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
Department of Surgery, Urology Unit, Federal Medical Centre, Lagos, Nigeria.
Niger Postgrad Med J. 2021 Jul-Sep;28(3):175-180. doi: 10.4103/npmj.npmj_502_21.
Monopolar transurethral resection of the prostate (M-TURP) has been the gold standard of surgical intervention in patients with benign prostatic hyperplasia with the indication for surgery. This can be achieved using varieties of irrigation fluids.
To document our experience with M-TURP using water as irrigation fluid in 123 consecutive patients.
A retrospective study of all patients who had M-TURP with water as irrigation fluid was performed between January 2017 and July 2019. Information retrieved from theatre records and case notes includes patient's socio-demographic data, indications for surgery, intra-operative findings, the volume of resected chips and irrigation fluid used, post-operative complications and patient's satisfaction with the outcome of the procedure. These data were analysed using SPSS version 23.
Data from 123 patients were analysed and presented. The age range was 44-96 years with a mean of 69 years. Prostate volume ranges from 13.9 to 276.00 mls with a mean of 95.69 mls while resected prostate volume ranges from 2.0 to 158.0 mls with a mean of 56.68 mls. Volume of the sterile water used as irrigation fluid ranged from 5.0 L to 174.0 L with a mean of 68.7 L. Mean reduction in International Prostate Symptoms Score, improvement in Q-max and reduction in post-void residual urine were 22.1, 16.9 and 141.6 mls, respectively. Transfusion rate was 6.5% while the duration of admission ranges from 1 to 6 days, with a mean of 2.5 days. The overall complication rate was 26.0%. Ninety-six percent were satisfied with the outcome.
M-TURP using water as irrigation fluid is safe and is as good as using the more rather expensive glycine or normal saline in bipolar TURP.
经尿道前列腺单极切除术（M-TURP）一直是手术治疗良性前列腺增生的金标准。可以使用各种灌洗液来实现这一点。
记录我们在 123 例连续患者中使用水作为灌洗液进行 M-TURP 的经验。
对 2017 年 1 月至 2019 年 7 月期间使用水作为灌洗液进行 M-TURP 的所有患者进行回顾性研究。从手术室记录和病例记录中检索到的信息包括患者的社会人口统计学数据、手术指征、术中发现、切除的组织芯片和灌洗液的体积、术后并发症以及患者对手术结果的满意度。这些数据使用 SPSS 版本 23 进行分析。
对 123 例患者的数据进行了分析和呈现。年龄范围为 44-96 岁，平均 69 岁。前列腺体积范围为 13.9-276.00 mls，平均为 95.69 mls，而切除的前列腺体积范围为 2.0-158.0 mls，平均为 56.68 mls。作为灌洗液使用的无菌水的体积范围为 5.0-174.0 L，平均为 68.7 L。国际前列腺症状评分平均降低 22.1，最大尿流率平均提高 16.9，残余尿量平均减少 141.6 mls。输血率为 6.5%，住院时间从 1 天到 6 天不等，平均为 2.5 天。总的并发症发生率为 26.0%。96%的患者对结果满意。
使用水作为灌洗液的 M-TURP 是安全的，与使用更昂贵的甘氨酸或双极 TURP 中的生理盐水一样好。
