Dergiler / Selçuk Tıp Dergisi / 2000 / Cilt: 16 - Sayı: 4
Results of transurethral incision (TUIP) application to the benign prostatic hyperplasia
- Dergi
- Selçuk Tıp Dergisi
- Sayfa
- 289–292
- DOI
- —
Özet
Benign prostat hipertrofisinde (BPH) herkesin istegi daha az invaziv bir cerrahi yöntemle tedavi olmaktir. Biz çalismamizda klinigimizde BPH tanisi konan ve TUIP uygulanan 14 hastayi objektif (Uroflowmetri) , subjektif (Semptom skoru) ve seksüel fonksiyon açisindan degerlendirdik. TUIP uygulanan 14 hastanin ortalama yasi 54.8 ve ortalama izlem süremiz 35.5 ay idi. Semptom skoru (IPSS) ve uroflowmetri preoperatif ve postoperatif tüm hastalarda degerlendirilerek karsilastirildi. TUIP' ten sonra semptom skorunda azalma izlendi. Maksimum idrar akis hizi ortalama 9.8 ml/sn den postoperatif altinci ayda 14.3 ml/sn'ye çikti. 1 hastada operasyon sonrasi retrograd ejekulasyon gözlendi. TUIP ten sonraki iyilesme oranlari TURP ile kiyaslandiginda daha düsük olmakla birlikte iyi seçilmis hastalarda obstruksiyondan kurtarmada etkili bir yöntem oldugu kanaatine varildi.
Abstract
Everybody wish a less invasive surgical procedure applied at Benign Prostatic Hyperplasia (BPH). We evaluated the results of TUIP application at our clinic to 14 cases with BPH identification in point of objective measures (Uroflowmetry), subjective measures (Symptom score) and sexual function. Average age of 14 cases subjected to TUIP was 54.8 and average observation period was 35.5 months. In all cases pre and postoperative symptom score (IPSS) and uroflowmetry data have been evaluated and compared. A reduction in the symptom score has been observed after the TUIP. Maximum urine flow rate increased from 9.8 ml/sec to 14.3 ml/sec at sixth month. Post-operative retrograde ejaculation has been observed in only one patient. Although recovery rates were low as compared to TURP, TUIP was evaluated to be an effective method in obstruction therapy at carefully selected patients.