Dergiler / Eastern Journal of Medicine / 2020 / Cilt: 25 - Sayı: 4

The Effect of Body Mass Index On The Outcomes of Open Simple Prostatectomy

Sayfa
519–523
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Despite obesity is associated with a prolonged operation and increased transfusion rates in open simple prostatectomy, it can still be considered a safe treatment method.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Simple prostatectomy remains the gold standard treatment for patients with severe lower urinary tract symptoms (LUTS) and patients with enlarged prostate.
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Temel Bulgular & Veri:Obesity, defined as a body mass index over 30kg/m2 by the World Health Organization (WHO), is associated with some perioperative complications.
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Sonuç & Katkı:Despite obesity is associated with a prolonged operation and increased transfusion rates in open simple prostatectomy, it can still be considered a safe treatment method.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Simple prostatectomy remains the gold standard treatment for patients with severe lower urinary tract symptoms (LUTS) and patients with enlarged prostate. Obesity, defined as a body mass index over 30kg/m2 by the World Health Organization (WHO), is associated with some perioperative complications. This study aims to investigate the effects of obesity on the outcomes of open simple prostatectomy. The study includes 72 patients that underwent open simple prostatectomy. We compared the treatment outcomes of 49 patients with a body mass index (BMI) 30kg/m2. We compared t he two groups in terms of change in International Prostate Symptom Score (IPSS), change in uroflowmetry maximum flow rate (Qmax), operation time, intraoperative blood loss, transfusion requirements. The median of change in IPSS scores was 16(11-30) for the group where BMI 30kg/m2. This difference was not statistically significant (p=0.383). The mean duration of operation was 90.61±17.45 minutes for patients with BMI 30kg/m2. The difference between the two groups was statistically significant (p 30kg/m2 group, and this difference was statistically significant (p<0.001). However, the blood transfusion requirements of the two groups were statistically similar (p=0.885). Open simple prostatectomy is very important technic in the treatment of BPH patients with enlarged prostates. Despite obesity is associated with a prolonged operation and increased transfusion rates in open simple prostatectomy, it can still be considered a safe treatment method.

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Bu Makaleye Atıf Yap

BULUT, E. C., ERTAŞ, K., Koparal, M. Y., ÇETİN, S. (2020). The Effect of Body Mass Index On The Outcomes of Open Simple Prostatectomy. Eastern Journal of Medicine, Cilt: 25 - Sayı: 4, 519–523. https://ajindex.com/articles/159904

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Kaynakça (14)

  1. Han M, Partin A. Retrograde and suprapubic open prostatectomy. Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA. Campbell– Walsh Urology. Philadelphia: Saunders Elsevier. 20122695-703
  2. Adam C, Hofstetter A, Deubner J, et al. Retropubic transvesical prostatectomy for significant prostatic enlargement must remain a standard part of urology training. Scandinavian journal of urology and nephrology 2004; 38: 472- 476
  3. Gilling PJ, Cass CB, Cresswell MD, Fraundorfer MR. Holmium laser resection of the prostate: preliminary results of a new method for the treatment of benign prostatic hyperplasia. Urology 1996; 47: 48-51
  4. Kuebker JM, Miller NL. Holmium laser enucleation of the prostate: patient selection and outcomes. Current urology reports 2017; 18: 96
  5. Kuczmarski RJ, Carroll MD, Flegal KM, Troiano RP. Varying body mass index cutoff points to describe overweight prevalence among US adults: NHANES III (1988 to 1994). Obesity research. 1997; 5: 542-548
  6. Calvert RC, Burgess NA. Urolithiasis and obesity: metabolic and technical considerations. Current opinion in urology 2005; 15: 113-117
  7. Koo B, Burtt G, Burgess N. Percutaneous stone surgery in the obese: outcome stratified according to body mass index. BJU international 2004; 93: 1296-1299
  8. Alyami FA, Skinner TA, Norman RW. Impact of body mass index on clinical outcomes associated with percutaneous nephrolithotomy. Canadian Urological Association Journal 2013; 7: E197
  9. Kapoor A, Nassir A, Chew B, Gillis A, Luke P, Whelan P. Comparison of laparoscopic radical renal surgery in morbidly obese and non-obese patients. Journal of endourology 2004; 18: 657- 660
  10. Gravas S, Cornu J, Gacci M, et al. Management of non-neurogenic male lower urinary tract symptoms (LUTS), incl. benign prostatic obstruction (BPO) 2019
  11. Baumert H, Ballaro A, Dugardin F, Kaisary A. Laparoscopic versus open simple prostatectomy: a comparative study. The Journal of urology. 2006;175:1691-4
  12. Porpiglia F, Terrone C, Renard J, et al. Transcapsular adenomectomy (Millin): a comparative study, extraperitoneal laparoscopy versus open surgery. European urology 2006; 49: 120-126
  13. McCullough TC, Heldwein FL, Soon SJ, et al. Laparoscopic versus open simple prostatectomy: an evaluation of morbidity. Journal of endourology 2009; 23: 129-134
  14. Knipper S, Mazzone E, Mistretta FA, et al. Impact of Obesity on Perioperative Outcomes at Robotic-assisted and Open Radical Prostatectomy: Results From the National Inpatien