Risk Factors for Early Urethral Stricture After Mono-Polar Transurethral Prostate Resection: A Single-Center Experience

Aim This study aimed to investigate the incidence of urethral stricture during the early period after transurethral resection of the prostate (TURP) and the risk factors affecting the development of urethral stricture in patients treated in our clinic. Material and methods This retrospective study i...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2021-11, Vol.13 (11), p.e19663-e19663
Main Authors: Gür, Ahmet, Sönmez, Gökhan, Demirtaş, Türev, Tombul, Şevket T, Halitgil, Kemal, Demirtaş, Abdullah
Format: Article
Language:English
Subjects:
Age
Body mass index
Cardiovascular disease
Catheters
Chronic obstructive pulmonary disease
Comorbidity
Endoscopy
Intubation
Normal distribution
Patients
Prostate
Regression analysis
Risk factors
Standard deviation
Surgery
Urology
Variables
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Summary:Aim This study aimed to investigate the incidence of urethral stricture during the early period after transurethral resection of the prostate (TURP) and the risk factors affecting the development of urethral stricture in patients treated in our clinic. Material and methods This retrospective study included patients who underwent TURP due to benign prostate hyperplasia (BPH) and had complete postoperative follow-up data of at least 12 months. Univariate and multivariate logistic regression analyses were performed to evaluate the relationship between urethral stricture and eight parameters (age, body mass index [BMI], prostate volume, number of comorbidities, amount of tissue removed, operative time, perioperative blood loss, and catheterization duration). Results Of the 3069 patients who underwent TURP in our clinic during the study period, 1740 patients with complete clinical data were included in the study. Mean age was 67.83 ± 5.80 years and mean body mass index (BMI) was 27.63 ± 4.31 kg/m . Median preoperative prostate volume was 50.0 (range, 41.0-62.0) mm and the average amount of tissue removed during surgery was 20.0 (range, 12.0-30.0) g. Urethral stricture was detected in 3.9% (67/1740) of the patients during a minimum of 12 months of follow-up period after TURP. In multivariate analysis, prolonged operative time and high comorbidity burden were found to be risk factors for urethral stricture (
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.19663