Reduced bleeding with DRY CUT® transurethral resection of the prostate (TURP) compared to standard TURP. (4th July 2019)

• Record Type: Journal Article
• Authors: Sjöström, Carin; Bergkvist, Mats; Thulin, Helena; Kjellman, Anders; Thorstenson, Andreas
• Is Part Of: Scandinavian journal of urology. Volume 53:Number 4(2019)
• Page Start: 235
• Page End: 239
• Publication Date: 2019-07-04
• Subjects: TurP -- bleeding -- transfusion -- Monopolar DRY CUT©; Urology -- Periodicals; 616.6
• DOI: 10.1080/21681805.2019.1637376
• Languages: English
• ISSNs: 2168-1805

Abstract

Abstract: Objective: To compare bleeding and transfusion rate between patients who undergo standard transurethral resection of the prostate (TURP) and patients who undergo DRY CUT ® TURP. Materials and methods: A retrospective comparison was made of 626 patients who underwent a standard monopolar TURP during 2004–2007 at the Karolinska University Hospital Huddinge with 620 patients who underwent monopolar DRY CUT ® TURP during 2011–2014 at the same clinic. Transfusion rate, perioperative bleeding, prostate volume, resection weight, use of anticoagulation therapy, presence of prostate cancer, whether the operation was performed by a specialist doctor in urology or a resident and length of hospital stay were evaluated. Results: The median bleeding was 300 ml (IQR = 100–645 ml) in the group of patients who underwent standard TURP compared to 75 ml (IQR 30–268 ml) in the DRY CUT ® TURP group. The bleeding quotient for standard TURP was 2.3-times the perioperative bleeding for DRY CUT ® TURP. In a logistic regression model the patients who underwent standard TURP were more likely to undergo blood transfusion compared to DRY CUT ® TURP (OR = 3.18, 95% CI = 1.72–5.88). The results were not affected by adjustment for patient age, presence of prostate cancer, anticoagulation therapy or operation performed by a specialist in urology. However, the resection weight did influence the bleeding quotient. Conclusions: The shift from standard TURP to DRY CUT ® TURP has decreased the perioperative bleeding and need for blood transfusion at our hospital.