MURAT ZOR, ENGİN KAYA, Turgay EBİLOĞLU, Emrah ÇOĞUPLUGİL, SELAHATTİN BEDİR

Transüretral Prostat Rezeksiyonu Sonrası Medikal Tedaviye Devam Durumunun Öngörülmesinde Preoperatif Prostat Boyutu Belirleyici midir?

GİRİŞ ve AMAÇ: Benign prostat hiperplazisi (BPH) nedeniyle TURP uygulanan hastaların küçük de olsa bir bölümünde postoperatif alt üriner sistem semptomları (AÜSS) devam etmekte ve bu hastalarda medikal tedaviye devam edilmektedir. Biz de çalışmamızda, TURP uygulanan hastalarda prostat boyutu ile postoperatif ek girişim oranları ve AÜSS nedeniyle medikal tedaviye devam edilme oranları arasında ilişki olup olmadığını araştırdık. YÖNTEM ve GEREÇLER: Preoperatif prostat boyutlarına göre hastalar Grup 1 (prostat hacmi ≥80 ml) ve Grup 2 (prostat hacmi <80 ml) olarak iki gruba ayrıldı. Gruplar; preoperatif PSA değerleri ve prostat volümü, eşlik eden ko-morbiditeler, postoperatif ek sistoskopi ve sistometri yapılıp yapılmadığı, postoperatif medikal tedavi kullanımı açısından karşılaştırıldı. BULGULAR: Çalışmaya toplam 87 hasta dahil edildi. Grup 1’deki 26 hastada prostat boyutu ≥80 ml iken, grup 2’deki 61 hastada prostat boyutu <80 ml idi. 87 hastanın 19’una (%22), postoperatif dönemde AÜSS’nin devam etmesi nedeniyle, sistoskopi veya sistometri yapıldı ya da medikal tedavi yeniden başlandı. İstatistiksel olarak anlamlı olmasa da, 80 ml altında prostat hacmi olup, TURP uygulanan hastalarda, postoperatif AÜSS’nin daha sık görüldüğü gözlendi. TARTIŞMA ve SONUÇ: Her ne kadar TURP sonrası işeme bozukluklarını ve risk faktörlerini belirlemek için prospektif ve geniş serili çalışmalara ihtiyaç olsa da, elde ettiğimiz veriler büyük prostatlarda TURP’nin cerrahi sonuçlarının daha yüz güldürücü olabileceğine işaret etmektedir.Türkçe Kısa Başlık: Prostat Hacmi ve Tedaviye Devam Durumu

Anahtar Kelimeler:

TURP, Alt üriner sistem semptomları (AÜSS), prostat boyutu, sistoskopi, sistometri

Does Preoperative Prostate Volume Predictive For Medical Therapy Continuation After Transurethral Prostate Resection?

INTRODUCTION: A small proportion of patients who underwent TURP for benign prostate hyperplasia suffer from persistent lower urinary tract symptoms and needs continuing medical treatment. In our study, we aimed to evaluate whether or not is there any relationship between preoperative prostate volume and postoperative persistent LUTS and medical treatment continuation. METHODS: The patients were divided into two groups (group 1: prostate volume ≥80 ml, and group 2: prostate volume <80 ml) according to prostate volume. Preoperative PSA levels, prostate volume, comorbidities, the necessity of postoperative cystoscopy and cystometry and postoperative medical therapy continuation were evaluated and compared between groups. RESULTS: A total of 87 patients included to the study. Prostate volume was ≥80 ml in 26 patients (group1), and <80 ml in 61 patients (Group 2). Of 87 patients 19 (22%) had persistent LUTS and underwent cystoscopy, cystometry or were restarted medical therapy. Despite there were no statistical significance, LUTS were seen more frequently in patients who had prostate volume less than 80 ml. DISCUSSION AND CONCLUSION: Despite high volume and prospective studies are warranted for determining the risk factors for postoperative LUTS following TURP operations, our study demonstrates that TURP operations may have better outcomes in larger prostates. İngilizce Kısa Başlık: Prostate Volume and Therapy Continuation

Keywords:

TURP, lower urinary tract symptoms, prostate volume, cystoscopy, cystometry,

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