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This study aims to investigate the impact of transurethral prostate resection in regard to complications. These are direct surgical complications, such as bleeding, infection and readmissions, as well as the long term complications as incontinence and impotence. Also, the study aims to investigate if selected cases of patients could be performed as outpatient surgery, thereby reducing cost.
Transuretral prostate resection (TUR P) is a common procedure to relieve voiding problems in men. After the introduction of bipolar resection with saline, the serious complication of transurethral resection syndrome (i.e. acute hypo-natremia) has been eradicated.
The post surgical care is generally a couple of days inhospital care. The reson for this, is the risk of clot formation and in rare cases post surgical infection.
However, in selected cases, outpatient surgery has been performed with encouraging results. However, the technique has not been spread widely. The use of ambulatory surgery would reduce the direct cost of the procedure, thereby increasing it´s availability.
Also, complications in contemporary TUR P in the modern era (outside of the selected patients of clinical trials) is lacking. The information of complications that can be expected is therefore an important for patient counseling. In some studies, the use of incontinence pads after TUR P is more than 15%, which is important to reliably ascertain if this is holds true.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| transurethral resection of the prostate | Procedure | Surgical removal of benign prostatic tissue |
|
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of patients able to be discharged the day of surgery | One day | |
| Proportion of patients readmitted to hospital the first day of surgery | One day |
| Measure | Description | Time Frame |
|---|---|---|
| Change in IPSS score | International prostate symptom score, range 0-35 | 6 months |
| Number of patients with cancer in surgical specimen | Pathological confirmed prostate cancer, all Gleasson Grades (6-10) |
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Inclusion Criteria:
Exclusion Criteria:
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This is a feasibility cohort study. All patients planned for TUR P are eligible. Patients in the ambulatory group have prostate size less than 50 cc and ASA score less less than 4 and ser under 80 years of age. This is clinical routine at the study site.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Östersunds hospital | Recruiting | Östersund | Jämtland County | 83133 | Sweden |
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| ID | Term |
|---|---|
| D011470 | Prostatic Hyperplasia |
| D007172 | Erectile Dysfunction |
| ID | Term |
|---|---|
| D011469 | Prostatic Diseases |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D020728 | Transurethral Resection of Prostate |
| ID | Term |
|---|---|
| D011468 | Prostatectomy |
| D013521 | Urologic Surgical Procedures, Male |
| D013520 | Urologic Surgical Procedures |
| D013519 | Urogenital Surgical Procedures |
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| 6 months |
| Readmission rates within 30 days of surgery | 30 days |
| Complications | Clavien Dindo Classification | 30 days |
| Proportion catheter free | 6 months |
| D052801 |
| Male Urogenital Diseases |
| D012735 | Sexual Dysfunction, Physiological |
| D020018 | Sexual Dysfunctions, Psychological |
| D001523 | Mental Disorders |
| D013514 | Surgical Procedures, Operative |