مشاركة د.عبدالمنعم الفرجاني، في مؤتمر zag- uro 2019

إعلانات ودورات ونشاطات المسؤولية الإجتماعية ماجستير طب بشري

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

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