Comparison of the Efficacy of Transurethral Enucleation
and Resection of the Prostate with Transurethral
Resection of the Prostate for Medium Prostate Sizes
Chawin Sukapiriya MD¹, Charoen Leenanupunth MD²
Affiliation : ¹ Department of Surgery, Bangkok Metropolitan Administration General Hospital, Bangkok, Thailand ² Division of Urology, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Objective: To compare the efficacy of the transurethral enucleation of the prostate (TUERP) to transurethral resection of the
prostate (TURP) through a prospective randomized controlled trial.
Materials and Methods: Between January 2016 and December 2019, 46 patients from a single center were divided into two groups, TURP and TUERP, using simple randomization. The perioperative and postoperative outcomes up to one year after surgery were evaluated.
Results: The mean estimated prostate volume (PV) in the TURP and TUERP group was 40±22 mL and 41±18 mL, respectively. There were no statistical differences in the baseline characteristics between the two groups. The mean operative time was significantly longer in the TUERP group (71.95±33.96 minutes versus 50.85±26.78 minutes; p=0.024). The average weight of prostate resected in the TUERP group was higher but not statistically significant (18.87±14.95 g versus 15.15±11.07 g; p=0.39). The volume of fluid irrigation collected postoperatively was significantly lower in the TUERP group (13.98±10.01 liter versus 24.73±21.90 liter; p=0.04). No statistically significant differences were noted between the two groups in terms of the postoperative IPSS, QoL, Q max, PSA, postoperative Hct, and the length of hospital stay.
Conclusion: The present study compared the surgical outcomes between the TUERP and the TURP techniques performed in medium prostate sizes. The authors concluded that TUERP resulted in a greater prostate tissue removal and, importantly, better intraoperative bleeding control.
Received 25 May 2020 | Revised 13 August 2020 | Accepted 21 August 2020
doi.org/10.35755/jmedassocthai.2020.11.11502
Keywords : Benign Prostatic Hyperplasia, Transurethral enucleation of the prostate
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