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06.10.2017 | Original Article

Results of transurethral resection of the prostate in renal transplant recipients: a single center experience

verfasst von: Mehmet Sarier, Sabri Tekin, İbrahim Duman, Yucel Yuksel, Meltem Demir, Furkan Alptekinkaya, Mehmet Guler, Asuman Havva Yavuz, Alim Kosar

Erschienen in: World Journal of Urology | Ausgabe 1/2018

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Abstract

Objectives

The aim of this study was to retrospectively evaluate the early and long-term results of renal transplantation (RT) patients undergoing transurethral resection of the prostate (TURP) due to benign prostate hyperplasia (BPH).

Materials and methods

Eighty-nine patients with RT performed in our hospital underwent TURP between November 2008 and March 2016. Results were evaluated along with early and long-term complications. Patients were followed up for a minimum of 12 months.

Results

The mean age of the patients was 61.4 ± 7.4 years. The median duration of dialysis was 28 (0–180) months. The median duration between transplantation and TURP was 13 (0–84) months. Before TURP, the mean serum creatinine (sCr) was 1.99 ± 0.83 mg/dL and the mean prostate volume was 33.3 ± 14.6 cm³. The mean Q _max, Q _ave and PVR values were 9.5 ± 3.7, 5.2 ± 2.2 ml/s and 85(5–480) mL, respectively. None of the patients developed perioperative and postoperative major complications. Twelve patients (13.4%) developed urinary tract infections in the postoperative period. The sCr, IPSS and PVR values significantly decreased, while Q _max and Q _ave significantly increased at the 1-month follow-up. At the 6-month follow-up, 63 (70.8%) patients had retrograde ejaculation. Patients were followed up for a median of 42 (12–96) months. Three patients (3.3%) were re-operated for bladder neck contracture and eight (8.9%) patients were re-operated for urethral stricture.

Conclusion

TURP can be safely and successfully applied for the treatment of BPH after RT. LUTS and renal functions significantly improve after the operation. Patients should be followed up for UTIs in the short term and for urethral stricture in the long term.

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Titel: Results of transurethral resection of the prostate in renal transplant recipients: a single center experience
verfasst von: Mehmet Sarier
Sabri Tekin
İbrahim Duman
Yucel Yuksel
Meltem Demir
Furkan Alptekinkaya
Mehmet Guler
Asuman Havva Yavuz
Alim Kosar
Publikationsdatum: 06.10.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: World Journal of Urology / Ausgabe 1/2018
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-017-2094-5

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Materials and methods

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