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Title: | Patients’ quality of life after bipolar transurethral enucleation and laparoscopic simple prostatectomy for large benign prostatic hyperplasia : quality of life after surgical treatment of large BPH |
Authors: | Doykov, Mladen Kostov, Gancho |
Keywords: | Benign prostatic hyperplasia -- Treatment Prostatectomy, Transurethral Quality of life Prostatectomy Postoperative care |
Issue Date: | 2024 |
Publisher: | University of Malta. Medical School |
Citation: | Doykov, M., & Kostov, G. (2024). Patients’ quality of life after bipolar transurethral enucleation and laparoscopic simple prostatectomy for large benign prostatic hyperplasia : quality of life after surgical treatment of large BPH. Malta Medical Journal, 36(2), 33-42. |
Abstract: | BACKGROUND: The purpose of this study was to assess the changes in storage, voiding, and post-micturition LUTS and disease-related QoL in patients with large benign prostatic hyperplasia (BPH) who underwent either bipolar transurethral enucleation (B-TUEP) or laparoscopic simple prostatectomy (LSP). METHODS: This was a prospective study, involving 112 men, aged 58 -78, with BPH > 80m/L, of whom 55 were treated through B-TUEP and 57 through LSP. RESULTS: Both patient groups experienced a significant reduction in LUTS (p < 0.001 for all); however, the LSP patients had a higher reduction in storage, voiding, and post-micturition symptoms (p < 0.001 for all comparisons). Overall, LUTS decreased by 76±5.8% in the LSP group and by 70±7.8% in the B-TUEP group. The percentage improvement in QoL was 61.66±15.74% in the LSP group versus 52.69±17.85% in the B-TUEP group, p = 0.006. There was a significant association between reduction in LUTS and improvement in disease-related QoL (rs =- 0.463, 95% CI: -0.293 to -0.605). The advantages of B-TUEP were shorter operative duration, hospital stay, and catheter duration (p < 0.001). CONCLUSIONS: Our results suggest that both B-TUEP and LSP are effective surgical treatments for patients with BPH > 80m/L, which contribute to significant reductions in LUTS and improved QoL. Yet, the extent of improvement was greater in the LSP group, whereas B-TUEP required less operative time, hospital stay, and catheter duration. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/123290 |
Appears in Collections: | MMJ, Volume 36, Issue 2 |
Files in This Item:
File | Description | Size | Format | |
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MMJ36(2)A5.pdf | 624.18 kB | Adobe PDF | View/Open |
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