Transurethral Enucleation of Prostate (TUEB) – New Option in Bipolar endoscopic Surgery of BPH

Sevryukov F.A., Sorokin D.A., Karpuhin I.V., Puchkin A.B., Semenychev D.V., Kochkin A.D.

In urological center of clinic on Gorkiy station for 4 years (from april 2008 to december 2011) we performed 211 transurethral enucleations of prostate (TUEB) in patients with BPH. Patients aged from 53 to 83 (mean 64 years). Surgery time was from 60 minutes to 190 minutes. (average 119 min.). The volume of resected tissue was from 80 to 225 ml (mean 122 ml). When performing TUEB special electrode consisting of a plunger is used for tissue enucleation. The loop electrode is used for dissection and coagulation of tissue. High-frequency generator (UES-40) with the power 280-320 W is used for cutting and with the power of 80-120 W i- for coagulation. Technology of TUEB is described in detail In the postoperative bleeding and tamponade of the bladder that required additional surgical intervention occurred in 5 patients (2.3%). Urinary incontinence was noticed in 7 patients (3.3%) after removal of the catheter, with time all these patients were continent without any additional interventions. 2 (0.95%) patients had urethritis treated with antibiotic therapy and immediate catheter removal. Average hospital stay was 7 days (5 to 14 days). After 1 month after surgery mean Qmax increased from 8.9 ml/s to 19.7 ml/s, mean IPSS score decreased from 25.9 to 2.5. mean QoL deccreased from 5.1 to 0.9. Residual volume in all patients did not exceed 30 ml. The result of performed surgery was significant improvement of urination quality with low complication rate.

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