İbis Muhammed Arif, Cayan Selahittin, Tokatli Zafer, Orhan İrfan, Ascı Ramazan, Kocamanoglu Fatih, Akbay Erdem, Yaman Onder
Department of Urology, University of Health Sciences, Keçiören Training and Research Hospital, Ankara, Turkey.
Department of Urology, Mersin University School of Medicine, Mersin, Turkey.
Turk J Urol. 2021 Nov;47(6):501-508. doi: 10.5152/tud.2021.21262.
The aim of this study is to show the surgical trend over the past 14 years using the data from five major centers in Turkey with accumulated experience in benign prostatic hyperplasia (BPH) surgery.
This study included 94,954 patients with low urinary tract symptoms (LUTSs) secondary to BPH. By using electronic databases, we identified 7,163 patients who underwent BPH surgery, including monopolar transurethral prostate resection (M-TURP), bipolar transurethral prostate resection (BTURP), transurethral incision of the prostate (TUIP), open prostatectomy (OP), and holmium laser enucleation of the prostate (HoLEP) from 2006 to 2019. The years were grouped as 2006-2010, 2011-2015, and 2016-2019.
The total number of outpatient treatments for BPH increased by 72.9% from 5,379 in 2006 to 9,302 in 2019. Until 2019, the annual number of surgeries increased from 375 to 937 (increasing 150%). All surgical approaches for BPH, except TUIP, were most frequently performed between the ages of 60 and 69. The rate of surgery including M-TURP, B-TURP, and TUIP was statistically different between 2006 and 2010, 2011 and 2015, and 2016 and 2019 (P < .001), except OP (P ¼ .071). The highest increase was observed in HoLEP in the first half of the 2010s compared to the second half of the 2010s. The rate of M-TURP decreased from 77.9% to 17.9% from 2016 to 2019.
With the aging population, the number of patients diagnosed and treated with BPH is increasing. B-TURP as a resection technique and HoLEP as an enucleation technique replace M-TURP. Healthcare services and government spending should be organized according to these data.
本研究旨在利用土耳其五个主要中心积累的良性前列腺增生（BPH）手术经验数据，展示过去14年的手术趋势。
本研究纳入了94954例继发于BPH的下尿路症状（LUTS）患者。通过电子数据库，我们确定了2006年至2019年期间接受BPH手术的7163例患者，包括单极经尿道前列腺切除术（M-TURP）、双极经尿道前列腺切除术（BTURP）、经尿道前列腺切开术（TUIP）、开放性前列腺切除术（OP）和钬激光前列腺剜除术（HoLEP）。年份分为2006 - 2010年、2011 - 2015年和2016 - 2019年。
BPH门诊治疗总数从2006年的5379例增加到2019年的9302例，增长了72.9%。到2019年，手术年数从375例增加到937例（增长150%）。除TUIP外，所有BPH手术方式最常发生在60至69岁之间。2006年与2010年、2011年与2015年以及2016年与2019年之间，包括M-TURP、B-TURP和TUIP在内的手术率在统计学上存在差异（P <.001），OP除外（P = 0.071）。与2010年代后半期相比，2010年代前半期HoLEP的增长幅度最大。2016年至2019年，M-TURP的比例从77.9%降至17.9%。
随着人口老龄化，诊断和治疗BPH的患者数量在增加。作为一种切除技术的B-TURP和作为一种剜除技术的HoLEP正在取代M-TURP。应根据这些数据来组织医疗服务和政府支出。
