Comparative Results of Transurethral Incision with Transurethral Resection of The Prostate in Renal Transplant Recipients with Benign Prostate Hyperplasia

Mehmet Sarier, Ibrahim Duman, Suleyman Kilic, Yucel Yuksel, Meltem Demir, Mesut Aslan, Levent Yucetin, Sabri Tekin, Asuman Havva Yavuz, Mestan Emek

Abstract


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Purpose: The aim of this study is to compare the results of transurethral incision of the prostate (TUIP) and transurethral resection of the prostate (TURP) for the surgical treatment of benign prostate hyperplasia (BPH) in patients with renal transplantation.
Materials and Methods: Between April 2009 and May 2016, BPH patients with renal transplants whose prostate volumes were less than 30 cm3 were treated surgically. Forty-seven patients received TURP and 32 received TUIP. The patients' age, duration of dialysis, duration between transplant and TURP/TUIP, preoperative and postoperative serum creatinine (SCr), International Prostate Symptom Score (IPSS), maximum flow rate (Qmax) and postvoid
residual volume (PVR) were recorded. At 1-,6- and 12-month follow-up, early and long-term complications were assessed. Results were evaluated retrospectively.
Results: In both groups, SCr, PVR and IPSS decreased significantly after the operation, while Qmax increased significantly (P < .001). There was no difference between the two groups in terms of increase in Qmax and decrease in IPSS, SCr and PVR (P = .89, P = .27, P = .08, and P = .27). Among postoperative complications, urinary tract infection (UTIs) and retrograde ejaculation (RE) rates were higher in the TURP group than the TUIP group (12.7% versus 6.2% and 68.1% versus 25%,respectively), whereas urethral strictures were more prevalent in the TUIP group (12.5% versus 6.3%).
Conclusion: For the treatment of BPH in renal transplant patients with a prostate volume less than 30 cm3, both
TUIP and TURP are safe and effective.

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References


Yang Q, Peters TJ, Donovan JL, et al. Transurethral incision compared with transurethral resection of the prostate for

bladder outlet obstruction: a systematic review and meta-analysis of randomized controlled trials. J Urol. 2001; 165:1526-32.

Cameron JS, Compton F, Koffman G, et al. Transplantation in older people. Lancet (London, England) 1994; 343:1169-70.

Tsaur I, Jones J, Melamed RJ, et al. Postoperative Voiding Dysfunction in Older Male Renal Transplant Recipients. Transplant

Proc. 2009; 41:1615-18.

Ergesi B, Winkler Y, Kistler T, et al. Prevalence and Management of Lower Urinary Tract Symptoms Related to Benign Prostatic Obstruction in a Contemporary Series of

Renal Transplant Recipients. Nephrourol Mon. 2016; 8:e35497.

Mitsui T, Shimoda N, Morita K, et al. Lower TURP vs. TUIP for BPH in renal transplantation-Sarier et al. urinary tract symptoms and their impact on quality of life after successful renal transplantation. Int J Urol. 2009; 16:388-92.

Abd-El Kader O, Mohy El Den K, El Nashar A, et al. Transurethral incision versus transurethral resection of the prostate in small prostatic adenoma: Long-term follow-up.

African J Urol. 2012; 18:29-33.

Tkocz M, Prajsner A. Comparison of long-term results of transurethral incision of the prostate with transurethral resection of the prostate, in patients with benign prostatic hypertrophy.

Neurourol Urodyn. 2002; 21:112-16.

Sansalone C V., Maione G, Aseni P, et al. Advantages of short-time ureteric stenting for prevention of urological complications in

kidney transplantation: An 18-year experience. Transplant Proc. 2005; 37:2511-15.

Krajewski W, Dembowski J, Kołodziej A, et al. Urological complications after renal transplantation - a single centre experience. Cent Eur J Urol. 2016; 69:306-11.

Oelke M, Kirschner-Hermanns R, Thiruchelvam N, et al. Can we identify men who will have complications from benign

prostatic obstruction (BPO)? ICI-RS 2011. Neurourol Urodyn. 2012; 31:322-6.

AUA Practice Guidelines Committee. AUA Guideline on Management of Benign Prostatic Hyperplasia, Ame. Assoc Urol. 2010:18-22.

EAU Guidelines. Management of Non-Neurogenic Male Lower Urinary Tract Symptoms (LUTS), incl. Benign Prostatic Obstruction (BPO). Eur Assoc Urol. 2016:23-32.

Lourenco T, Shaw M, Fraser C, et al. The clinical effectiveness of transurethral incision of the prostate: a systematic review of randomised controlled trials. World J Urol.

; 28:23-32.

Yang Q, Peters TJ, Donovan JL, et al. Transurethral incision compared with transurethral resection of the prostate for

bladder outlet obstruction: a systematic review and meta-analysis of randomized controlled trials. J Urol. 2001; 165:1526-32.

Védrine N, Nsabimbona B, Soares P, et al. Résection transuréthrale de prostate ou incision cervicoprostatique dans les suites immédiates d’une transplantation rénale. Progrès en Urol.

; 19:845-9.

Rule A, Lieber M, Jacobsen S. Is benign prostatic hyperplasia a risk factor for chronic renal failure? J Urol. 2005; 173:691-6.

Nissenkorn I, Savion M, Servadio C. Renal and bladder function recovery after prostatectomy in patients with a chronic residual urine of above 1,000 ml. Eur Urol. 1988; 14:434-6.

Volpe A, Billia M, Quaglia M, et al. Transurethral resection of the prostate in kidney transplant recipients: urological and

renal functional outcomes at long-term followup. BJU Int. 2013; 112:386-93.

Wojciechowski D, Chandran S. Effect of ciprofloxacin combined with sulfamethoxazole-trimethoprim prophylaxis on the incidence of urinary tract infections after kidney transplantation. Transplantation. 2013; 96:400-5.

Abbott KC, Swanson SJ, Richter ER, et al. Late urinary tract infection after renal transplantation in the United States. Am J

Kidney Dis. 2004; 44:353-62.

Reinberg Y, Manivel JC, Sidi AA, et al. Transurethral resection of prostate immediately after renal transplantation.

Urology. 1992; 39:319-21.

Golebiewska JE, Dębska-Ślizień A, Rutkowski B. Urinary tract infections during the first year after renal transplantation:

one center’s experience and a review of the literature. Clin Transplant. 2014; 28:1263-70.

Grabe M, Bartoletti R, Bjerklund-Johansen TE, et al. Guidelines on Urological Infections. Eur Assoc Urol. 2015:50-58.

Toorians AW, Janssen E, Laan E, et al. Chronic renal failure and sexual functioning: clinical status versus objectively assessed sexual response. Nephrol Dial Transplant. 1997; 12:2654-63.

Taylor BL, Jaffe WI. (2015) Electrosurgical transurethral resection of the prostate and transurethral incision of the prostate (monopolar techniques). Can J Urol. 2015; 22 Suppl 1:24-29.

Møller-Nielsen C, Lundhus E, Møller-Madsen B, et al. Sexual life following “minimal” and “total” transurethral prostatic resection. Urol Int. 1985; 40:3-4.

Rassweiler J, Teber D, Kuntz R, et al. Complications of Transurethral Resection of the Prostate (TURP)—Incidence,

Management, and Prevention. Eur Urol. 2006;50:969-80.

Dorsam J, Wiesel M, Mohring K, et al. Transurethral Incision of the Prostate Following Renal Transplantation. J Urol. 1995; 153:1499-501.

Jørgensen PE, Weis N, Bruun E. Etiology of urethral stricture following transurethral prostatectomy. A retrospective study. Scand J Urol Nephrol. 1986; 20:253-5.

Balbay MD, Ergen A, Sahin A, et al. Development of Urethral Stricture after Transurethral Prostatectomy: A Retrospective

Study. Int Urol Nephrol. 1992; 24:49-53.




DOI: http://dx.doi.org/10.22037/uj.v0i0.4074


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