أحد الأطباء الدارسين بماجستير الطب البشري التابعين لجامعة بنغازي الأهلية،
د.عبدالمنعم الفرجاني،
يعرض أول ورقة بحتية مشاركة منه في مؤتمر zag- uro 2019
نتمنى له التوفيق والسداد والنجاح
وكانت الورقة البحثية تحت عنوان :
Impact of using suprapubic cystostomy during Monopolar Transurethral Resection of Large Size Prostate: A prospective Study
Abdulmonam E. Forgani, Esam A. Mahmoud, Khaled M Abd Elsamad,and Abd Elrahman M.Elfayom
Urology Department, Faculty of Medicine, Zagazig University
Abstract
Background: Benign prostatic hyperplasia (BPH), the most common benign neoplasm in men. Despite the development of medical therapy and alternative minimally invasive procedures, the monopolar transurethral resection of the prostate still the “gold standard” in the operative management of BPH .
Purpose: To evaluate efficacy and safety of suprapubic cystostomy transurethral resection of the prostate > 80 gram
Patients and methods: In this study patients operated with monopolar TURP between January 2018 and January2019 were evaluated Prospective study at zagazig university hospital . During surgery a catheter (12 Fr) was placed suprapubically
to maintain stable low-pressure conditions . The variables evaluated included the International Prostate Symptom Score (IPSS), the duration of the operation, Foley catheterization time, hospital stay length, Resection efficiency and intravesical pressure,. All patients were followed-up for atleast 6 months after surgery
Results: 24 cases Follow-up period was 6 months the mean age (64.95±4.43), IPSS (28.81±2.08), , and post void residual (PVR) 82.75±20.9. Mean prostate volume was (88.87±7.5)g . mean surgical time was (47.5±7.03 )/min , mean catheter time removed was( 2.37±0.44) day ,mean post oprative hospital stay was(2.38±0.46)day ,mean bladder pressure was (11.83 ±0.44 ) cmH2 ,mean prostatic resected tissue weight was( 53.45 ±9.3)/g, mean Percentage of Resection to prostate size(0.60±0.08) and the mean Resection efficiency was (1.14±0.23)g /mint
. Blood transfusion was necessary in (0.0)and developed TUR syndrome( 0.0). At follow-up the mean IPSS ( 3.55±1.), and PVR(18.79±7.27)was relative improvement. regard late complication (16cases) 66.7% were without any complication 29.2% with retrograde ejaculation and 1 case 4.2% was with incontinence , finally the end outcome 66.7% without complication and 33.3% with 1 patient in each group reported worsening incontinence symptoms.
Conclusion: we can conclude the using of suprapubic cystostomy during monopolar transurethral resection of large prostate > 80 gram, is safe and effectiveness method .
Keywords: Monopolar TURP, Surapubic cystostomy, TUR syndrome ,
Tel.: 01030298286 E.mail: abdulmonamalforgany@gmail.com
