https://doi.org/10.4081/acbr.2024.492

Comparing the incidence of bladder neck stenosis post-monopolar transurethral resection of the prostate; small prostates vs. larger prostates in the black African population

Vol. 5 No. 1 (2024)
Submitted: 12 March 2024
Accepted: 2 May 2024
Published: 28 May 2024
BPH, monopolar TURP, Bladder Neck Stenosis, small vs larger prostates
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Authors

Okwudili Calistus Amu
okwudili.amu@unn.edu.ng
College of Medicine, University of Nigeria, Enugu Campus, Nigeria.
Solomon Kenechukwu Anyimba
University of Nigeria, Teaching Hospital Enugu, Nigeria.
Chukwunonso Anthony Iwenofu
University of Nigeria, Teaching Hospital Enugu, Nigeria.

Monopolar Transurethral Resection of the Prostate (TURP) is the commonly done procedure for surgical removal of the prostate after open prostatectomy in our subregion. It is still a novel procedure in our subregion, as very few centers offer this procedure. It is generally believed that the size of the prostate may influence the development of complications of bladder neck stenosis. This is a dreaded complication, which requires further surgical procedure to correct in a resource-poor environment. We decided to compare the incidence of Bladder Neck Stenosis (BNS) in small vs larger prostates following monopolar TURP in our black African subregion. We prospectively studied 194 patients who underwent TURP in our facility from 2015 to 2022 that satisfied the inclusion criteria. Eighty-five participants (43.81%) had a small prostate (Transrectal Ultrasound, TRUS, weight <30 g), and 109 participants (56.19%) had a large prostate (TRUS weight >30 g). Overall, ten participants (5.15%) had postoperative BNS. Participants with smaller prostates had more incidence of bladder neck contracture than those with larger prostates, although this did not reach statistical significance, Fisher’s Exact test p=0.338. Multifactorial reasons and not prostate size alone may be responsible for BNS. There may be a need for larger-scale standardized studies on prostate size effect on BNS.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Sun F, Sun X, Shi Q, Zhai Y. Transurethral procedures in the treatment of Benign Prostatic Hyperplasia: a systematic review and meta-analysis of effectiveness and complications. Medicine (Baltimore). 2018;97:e13360. DOI: https://doi.org/10.1097/MD.0000000000013360
Joshi HN, De Jong IJ, Karmacharya RM, et al. Outcomes of Transurethral Resection of the Prostate in Benign Prostatic Hyperplasia comparing prostate size of more than 80 grams to prostate size less than 80 grams. Kathmandu Univ Med J (KUMJ) 2014;12:163-7. DOI: https://doi.org/10.3126/kumj.v12i3.13708
Doluoglu OG, Gokkaya CS, Aktas BK, et al. Impact of asymptomatic prostatitis on re-operations due to urethral stricture or Bladder Neck Contracture developed after TUR-P. Int Urol Nephrol. 2012;44:1085-90. DOI: https://doi.org/10.1007/s11255-012-0127-y
Ahyai SA, Gilling P, Kaplan SA, et al. Meta-analysis of functional outcomes and complications following transurethral procedures for Lower Urinary Tract Symptoms resulting from benign prostatic enlargement. Eur Urol 2010;58:384-97. DOI: https://doi.org/10.1016/j.eururo.2010.06.005
Rassweiler J, Teber D, Kuntz R, Hofmann R. Complications of Transurethral Resection of the Prostate (TURP)—Incidence, Management, and Prevention. Eur Urol 2006;50:969-80. DOI: https://doi.org/10.1016/j.eururo.2005.12.042
Grechenkov A, Sukhanov R, Bezrukov E, et al. Risk factors for urethral stricture and/or Bladder Neck Contracture after monopolar Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia. Urologia. 2018;85:150-7. DOI: https://doi.org/10.1177/0391560318758195
Tao H, Jiang YY, Jun Q, et al. Analysis of risk factors leading to postoperative urethral stricture and Bladder Neck Contracture following Transurethral Resection of Prostate. Int Braz J Urol. 2016;42:302-11. DOI: https://doi.org/10.1590/S1677-5538.IBJU.2014.0500
Gravas SCJN, Gacci M, Gratzke C, et al. Management of non-neurogenic male LUTS. 2020. Available from: https://uroweb.org/guidelines/management-of-non-neurogenic-male-luts
Garza-Montufar ME, Cobos-Aguilar H, Trevino-Baez JD, Perez-Cortez P. Factors associated with urethral and bladder neck stricture after Transurethral Resection of the Prostate. Journal of Endourology. 2021;35:1400-4. DOI: https://doi.org/10.1089/end.2020.0847
Chen YZ, Lin WR, Chow YC, et al. Analysis of risk factors of Bladder Neck Contracture following Transurethral Surgery of Prostate. BMC Urol. 2021;21:59. DOI: https://doi.org/10.1186/s12894-021-00831-6
Goßler C, Pfänder F, Haas M, et al. Risk factors for Bladder Neck Contracture after Transurethral Resection of the Prostate. Prostate. 2023;83:1020-7. DOI: https://doi.org/10.1002/pros.24543
Lerner LB, McVary, KT, Barry MJ, et al. Management of Lower Urinary Tract Symptoms attributed to Benign Prostatic Hyperplasia: AUA Guideline part II, surgical evaluation and treatment. J Urol. 2021;206:818. DOI: https://doi.org/10.1097/JU.0000000000002184
Enikeev D, Misrai V, Rijo E, et al. EAU, AUA and NICE Guidelines on surgical and minimally invasive treatment of Benign Prostate Hyperplasia: a critical appraisal of the Guidelines using the AGREE-II Tool. Urol Int. 2022;106:1-10. DOI: https://doi.org/10.1159/000517675
Chen ML, Correa AF, Santucci RA. Urethral strictures and stenoses caused by prostate therapy. Rev Urol. 2016;18:90-102.
Cindolo L, Marchioni M, Emiliani E, et al. Bladder Neck Contracture after surgery for benign prostatic obstruction. Minerva Urol Nefrol. 2017;69:133-43. DOI: https://doi.org/10.23736/S0393-2249.16.02777-6
Lee YH, Chiu AW, Huang JK. Comprehensive study of Bladder Neck Contracture after Transurethral Resection of Prostate. Urology. 2005;65:498-503. DOI: https://doi.org/10.1016/j.urology.2004.10.082
Young BW. The retropubic approach to vesical neck obstruction in children. Surg Gynecol Obstet. 1953;96:150-4.
Al-Singary W, Arya M, Patel HRH. Bladder Neck Stenosis after Transurethral Resection of Prostate: does size matter? Urol Int. 2004;73:262-5. DOI: https://doi.org/10.1159/000080839
Chiu AW, Chen MT, Chang LS, et al. Prophylactic bladder neck incision in the treatment of small Benign Prostatic Hyperplasia. Zhonghua Yi Xue Za Zhi (Taipei). 1990;45:22-5.

How to Cite

Amu, O. C., Anyimba, S. K., & Iwenofu, C. A. (2024). Comparing the incidence of bladder neck stenosis post-monopolar transurethral resection of the prostate; small prostates vs. larger prostates in the black African population. Annals of Clinical and Biomedical Research, 5(1). https://doi.org/10.4081/acbr.2024.492
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