Effect Of Routinely Preoperative Urethral Dilation To Prevent Urethral Stricture After Transurethral Resection Of The Prostate For Benign Prostatic Hyperplasia

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Non-neurogenic Voiding Dysfunction I (MP02)1 Sep 2021MP02-16 EFFECT OF ROUTINELY PREOPERATIVE URETHRAL DILATION TO PREVENT URETHRAL STRICTURE AFTER TRANSURETHRAL RESECTION OF THE PROSTATE FOR BENIGN PROSTATIC HYPERPLASIA Yeong Uk Kim, Jae Young Choi, Young Hwii Ko, Phil Hyun Song, Ki Hak Moon, and Hee Chang Jung Yeong Uk KimYeong Uk Kim More articles by this author , Jae Young ChoiJae Young Choi More articles by this author , Young Hwii KoYoung Hwii Ko More articles by this author , Phil Hyun SongPhil Hyun Song More articles by this author , Ki Hak MoonKi Hak Moon More articles by this author , and Hee Chang JungHee Chang Jung More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001963.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urethral stricture is one of the postoperative complications after transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) and urethral dilation is simple and effective procedure to treat urethral stricture. However, there are no studies that have evaluated the relationship between preoperative urethral dilation and the incidence of post-TURP urethral stricture. Thus, we retrospectively investigated the effect of routinely urethral dilation just before surgery on preventing urethral stricture after TURP. METHODS: From January 2010 to December 2018, a total of 651 patients who underwent TURP for BPH was included in this study. We divided into two groups: Group A (295 patients, routinely urethral dilation before TURP) and B (356 patients, control group). We used a 26Fr resectoscope sheath, 30-degree telescope, and bipolar resectoscope. Urethral dilation was performed immediately before insertion of resectoscope sheath and 28Fr dilator was used. Urethral stricture after TURP was assessed by cystoscopy. Each patient was evaluated at 1 month, 3 months, and 6 months after TURP. The effect of urethral dilation was assessed based on International Prostate Symptom Score (IPSS), peak urine flow rate, voiding volume, and post-void residual urine. RESULTS: There were no significant differences of clinical variables, such as prostate volume, serum prostate specific antigen (PSA), age, operation time, and duration of catheterization between two groups (p >0.05). However, peak urine flow rate was significantly different between group A and B (19.87±9.12 vs 16.18±9.79, p=0.047). The incidence of urethral stricture after TURP was 4.06% (12/295) and 8.71% (31/356) in group A and B, respectively (p=0.032). CONCLUSIONS: This study demonstrated that the preoperative urethral dilation decreased the incidence of urethral stricture after TURP. We suggested that the routinely preoperative urethral dilation is simple and effective way to prevent urethral stricture after TURP for BPH. Source of Funding: No source of funding © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e18-e18 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Yeong Uk Kim More articles by this author Jae Young Choi More articles by this author Young Hwii Ko More articles by this author Phil Hyun Song More articles by this author Ki Hak Moon More articles by this author Hee Chang Jung More articles by this author Expand All Advertisement Loading ...