Komplikationen der transurethralen Resektion der Prostata

TURP Transurethral Resection Prostate via Penis Surgery

Prostata-Adenom und al

We use cookies to offer you a better experience, personalize content, tailor advertising, provide social media features, and better understand the use of our services. Do you want to read the rest of this article? We use cookies to make interactions with our website easy and meaningful, to better understand the use of our services, and to tailor advertising. For further information, including about cookie settings, please read our Cookie Policy. By continuing to use this site, Komplikationen der transurethralen Resektion der Prostata consent to the use of cookies.

We value your privacy. Download citation. Request full-text. Komplikationen der transurethralen Resektion der Prostata 'read' is counted each time someone views a publication summary such as the title, abstract, and list of authorsclicks on a figure, or views or downloads the full-text. Learn more. DOI: Die ungebrochene Popularität dieses Verfahrens beruht auf einer robusten Technik, einer bisher unübertroffenen Effektivität und einer im Sinne der Nutzen-Risiko-Abwägung niedrigen Morbidität.

Hide publication data in German. Show publication data in German. Die transurethrale Resektion der Prostata. Citations 3. References Despite the rise of new minimally invasive technologies, transurethral Komplikationen der transurethralen Resektion der Prostata of prostate TURP is the gold standard of surgical treatment for bothersome moderate severe Komplikationen der transurethralen Resektion der Prostata urinary tract symptoms LUTS secondary to BPH [1] Komplikationen der transurethralen Resektion der Prostata [3].

The three main reasons for the continued popularity of TURP are a robust, simple technique; and, until now, unsurpassed efficacy; and, with regard to the risk-benefit ratio, a low morbidity [4]. Moreover, sec- ondary hemorrhage after B-TURP and complications of Komplikationen der transurethralen Resektion der Prostata on ongoing oral anticoagulation were not found in our study. Full-text available. Jan OJU.

Sompol Permpongkosol. Operative Therapie des benignen Prostatasyndroms — resezieren, vaporisieren oder enukleieren? Mar Urologe. Background Benign prostatic hyperplasia BPH Komplikationen der transurethralen Resektion der Prostata the most common condition affecting the male lower urinary tract.

Besides transurethral resection of the prostate TURPvaporization of the prostate and endoscopic enucleation of the prostate are available. Objectives To provide an overview of the current status of surgical therapies for BPH. Materials and methods Narrative review of the literature on the surgical treatment of BPH.

In patients with ongoing oral anticoagulation of thrombocyte aggregation inhibition, GLV provides high intra- und postoperative safety. Conclusions Choice of surgical treatment of BPH should be individualized and based on prostate size, comorbidities and surgical experience.

Anästhesie in der Urologie. Jan Thomas Bluth. Die perioperative Betreuung urologischer Patienten ist häufig anspruchsvoll, aber auch abwechslungsreich: Regionalanästhesien besitzen wie die Allgemeinanästhesie einen festen Stellenwert als Anästhesieverfahren, und das Alter reicht von Kindern bis hin zu geriatrischen Patienten.

Die Anästhesie in der Urologie eignet sich demnach nicht nur hervorragend als Einstieg in das Fachgebiet, sondern erfordert mitunter die gesamte fachärztliche Expertise. Show more. Oct Introduction: There has been a significant change in surgical treatment of benign prostatic hypertrophy BPH over the last two decades.

Most importantly, laser surgery coagulation, vaporization, or enucleation has been growing in popularity as an alternative to standard transurethral prostatectomy TURP or other procedures.

Our goal was to analyze the trends of BPH surgeries and compare outcomes of laser surgery to TURP, the two most common alternative surgeries. Age, insurance, individual comorbidities, and average hospital volumes were assessed.

Bivariate and multivariate regression models were used to analyze predictors of laser use. In-hospital outcomes were then compared between laser and TURP in a balanced propensity-matched cohort. Results: Ninety thousand six hundred seventy patients underwent BPH surgery. Laser surgery usage increased from 6. TURP declined significantly from Patients with Medicaid were less likely to undergo laser therapy than those with private insurance odds ratio [OR]: 0.

Mid- and high-volume institutions were more likely to use laser treatment than low-volume centers OR: 2. Conclusions: TURP remains the most common procedure. However, the rate of use has declined over time. In contrast, laser use has significantly increased.

Laser treatment was utilized more in younger patients, in those privately insured, in hospitals with high volumes of BPH procedures, and in patients with fewer comorbid conditions. Both surgeries are safe with no differences in terms of occurrences of morbidity and complications. Die Entwicklung spezieller Techniken in der Urologie. M Reuter. Monopolare versus bipolar transurethrale resktion der Prostata. Surgery for benign prostatic hyperplasia.

Statistisches Bundesamt. Transurethral resection of the prostate. Kassenärztliche Vereinigung Nordrhein. Die häufigsten Diagnosen in Praxen der Urologen. Kassenärztliche Vereinigung Sachsen-Anhalt. Endoskopische Urologie: Atlas und Lehrbuch.

Rainer Hofmann. Erfolgreich endoskopisch Operieren mit Hofmann - Endoskopische Urologie! Die zweite Auflage des erfolgreichen Praxisbuchs bietet alle nötigen Grundlagen und zeigt alle Facetten des endoskopischen Operierens in der Urologie: chirurgische topographische Anatomie, intraluminale und perkutane endoskopische Verfahren sowie deren gängige Modifikationen und Varianten, operative Tricks und Kniffe, Umgang mit und Behandlung von möglichen Komplikationen. Endoskopie erfordert geschulte Augen: ein Atlasteil mit diagnostischen Bildern und zahlreiche Abbildungen in den therapeutischen Kapiteln helfen Ihnen dabei.

Alle Kapitel wurden intensiv überarbeitet. Neu in der 2. Aug J Urol. Andreas Skolarikos. Secondary outcomes included among others efficacy quantified by changes in maximum urine flow rate, post-void residual urine volume and IPSS compared with baseline. Mean SD PV was Neither safety nor any secondary outcome differed significantly between arms throughout follow-up. Published by Elsevier Inc.

All rights reserved. G Farin. Context: A number of transurethral ablative techniques based on the use of innovative medical devices have been introduced in the recent past for the surgical treatment of benign prostatic obstruction BPO.

Objective: To conduct a systematic review of the literature and a meta-analysis of available randomized controlled trials RCTsand to evaluate the efficacy and safety of transurethral ablative procedures for BPO. Evidence acquisition: A systematic literature search was performed for all RCTs comparing any transurethral surgical technique for BPO to another between and Efficacy was evaluated after a minimum follow-up of 1 yr based on International Prostate Symptom Score, maximum flow rate, and postvoid residual volume.

Efficacy at midterm follow-up, prostate volume, perioperative data, and short-term and long-term complications were also assessed. Data were analyzed using RevMan software. Evidence synthesis: A total of 69 Komplikationen der transurethralen Resektion der Prostata enrolled patients were included. No significant difference was found in terms of short-term efficacy between bipolar transurethral resection of the prostate B-TURP and monopolar transurethral resection of the prostate M-TURP. Better short-term efficacy outcomes, fewer immediate complications, and a shorter hospital stay were found after holmium laser enucleation Komplikationen der transurethralen Resektion der Prostata the prostate HoLEP compared with M-TURP.

Compared with M-TURP, GreenLight photoselective vaporization of the prostate PVP was associated with a shorter hospital stay and fewer complications but no different short-term efficacy outcomes. Further studies are needed to provide long-term comparative data and head-to head comparisons of emerging techniques. Patient summary: Bipolar transurethral resection of the prostate, photovaporization of the prostate, and holmium laser enucleation of the prostate have shown efficacy outcomes comparable with conventional techniques yet reduce the complication rate.

The respective role of these new options in the surgical armamentarium needs to be refined to propose tailored surgical treatment for benign prostatic obstruction relief. Apr Materials and methods: Eligible randomized controlled trials RCTs were identified from electronic databases without language restrictions. Database search, quality assessment, and data extraction were independently performed. Safety was estimated by TUR syndrome; need for transfusion; clot retention; bladder neck contracture BNC ; urethral stricture US ; and catheter removal time.

Efficacy and safety were investigated using the Review Manager. Results: Thirty-one trials met the inclusion criteria. Moreover, pooled analysis Komplikationen der transurethralen Resektion der Prostata no significant difference between both groups in the blood transfusion frequency or late complications urethral strictures and bladder neck constriction.

No significant differences were observed in the nature of adverse events such as transfusions, Komplikationen der transurethralen Resektion der Prostata after catheter removal, and urethral complications between both groups.