Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia

Türkeri, Levent; DEMİR, Aslan; ÇEÇEN, Kürşat; Karadag, Mert Ali

Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia

Aslan DEMİR, (Kafkas Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Kars, Türkiye)

Mert Ali KARADAĞ, (Kafkas Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Kars, Türkiye)

Kürşat ÇEÇEN, (Kafkas Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Kars, Türkiye)

Levent TÜRKERİ (Acıbadem Üniversitesi Tıp Fakültesi, Üroloji Anabilim Dalı, İstanbul)

Journal of Urological Surgery

3 0

Yıl: 2016 Cilt: 3 Sayı: 4 Sayfa Aralığı: 119 - 122 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia

Öz:

Amaç Biz bu çalışmada, prostatektomi açısından en uygun cerrahi yaklaşıma -endoskopik veya açık- karar vermek için, görüntüleme teknikleri ve rezeke edilen doku ağırlığı arasındaki ilişkiyi kullanarak, prostat hacim ölçümleri için en uygun tekniği belirlemeyi amaçladık. Gereç ve Yöntem Transüretral rezeksiyon planlanan, alt üriner sistem yakınmaları bulunan, 49-95 yaşlarında 60 hasta çalışmamıza dahil edildi. Rezeke edilen doku ağırlığı, abdomimal ve cerrahi öncesi masada ölçülen transrektal ultrasonografi (TRUS) prostat boyutları ve sistoskopi esnasında ölçülen prostatik üretral uzunluk arasındaki ilişki incelendi. Prostat hacimleri açısından, 75 cc'den küçük eşit ve büyük ve de prostatik uzunluk ölçümlerine gore de 2,5 cm'den kısa ve uzun olmak üzere 2 grup oluşturuldu. Bu iki grup arasında, rezeke edilen doku ağırlığı ve cerrahi öncesi hacim ölçüm yöntemleri arasında en iyi ilişki belirlemek için istatistiksel analiz yapıldı. Bulgular Rezeke edilen doku ağırlığı ile prostatik hacim ölçümleri arasındaki en güçlü ilişki TRUS ölçümleri ile olanla saptandı (r=0,79; p<0,001). Abdominal ve TRUS prostat hacimleri ve prostatik üretra uzunluk katsayıları, sırasıyla, 0,127, 0,287 ve 0,219 idi. Sonuç Prostat volümlerinin TRUS ölçümleri, abdominal ultrasonik ve sistoskopik ölçümlerden, gerçek boyutlara daha yakın olarak saptadığı anlaşıldı. Dolayısıyla, cerrahinin hemen öncesinde masada bakılan, prostat hacminin TRUS ölçümlerinin belirlenmesi, diğer yöntemlere göre, özellikle en uygun cerrahi yaklaşımın belirlenmesi güç olgularda, cerrahi yöntem kararının verilmesinde daha uygun bir yol gibi görünmektedir.

Anahtar Kelime:

Konular: Cerrahi

Benign Prostat Hiperplazisi Hastalarında, Prostatektomi için Cerrahi Tekniği Belirlemede, Abdominal veya Transrektal Ultrasonografik Prostat Hacmi ve Sistoskopik Prostatik Üretral Uzunluk Ölçümleri

Öz:

Objective We aimed to determine the most suitable technique for prostate volume (PV) measurement to decide for the most appropriate surgical approach - endoscopic or open - by establishing the relationship between imaging techniques and the resected tissue weight (RTW). Materials and Methods Sixty men aged 49-95 years with lower urinary tract symptoms, who were scheduled for transurethral resection, were enrolled. The relationship of RTW with PV determined by preoperative abdominal ultrasonography as well as transrectal ultrasonography (TRUS) performed at the table just before surgery, and prostatic urethral length (PUL) measured at the time of cystoscopy was analyzed. Two groups were established with respect to PV, (less than or equal to 75 cc and greater than 75 cc, respectively), and according to PUL (less than or equal to 2.5 cm and longer than 2.5 cm, respectively). Statistical analyses were performed between the groups to identify the best correlation between resected tissue weight and presurgical volume determination methods. Results The strongest correlation between RTW and prostatic volume measurements was established for the TRUS measurements (r=0.79; p<0.001). The coefficients of the abdominal and transrectal ultrasonographic volume and PUL were 0.127, 0.287 and 0.219, respectively. Conclusion Determination of PV by TRUS was found to be more accurate than abdominal ultrasonographic and cystoscopic measurements. Therefore, TRUS measurement of volume on the table at the time of surgery appears to be more suitable than other methods for the selection of the most suitable surgical technique especially in case of pre-operative difficulty for deciding the most appropriate surgical approach.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	DEMİR A, Karadag M, ÇEÇEN K, Türkeri L (2016). Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia. , 119 - 122.
Chicago	DEMİR Aslan,Karadag Mert Ali,ÇEÇEN Kürşat,Türkeri Levent Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia. (2016): 119 - 122.
MLA	DEMİR Aslan,Karadag Mert Ali,ÇEÇEN Kürşat,Türkeri Levent Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia. , 2016, ss.119 - 122.
AMA	DEMİR A,Karadag M,ÇEÇEN K,Türkeri L Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia. . 2016; 119 - 122.
Vancouver	DEMİR A,Karadag M,ÇEÇEN K,Türkeri L Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia. . 2016; 119 - 122.
IEEE	DEMİR A,Karadag M,ÇEÇEN K,Türkeri L "Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia." , ss.119 - 122, 2016.
ISNAD	DEMİR, Aslan vd. "Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia". (2016), 119-122.

APA	DEMİR A, Karadag M, ÇEÇEN K, Türkeri L (2016). Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia. Journal of Urological Surgery, 3(4), 119 - 122.
Chicago	DEMİR Aslan,Karadag Mert Ali,ÇEÇEN Kürşat,Türkeri Levent Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia. Journal of Urological Surgery 3, no.4 (2016): 119 - 122.
MLA	DEMİR Aslan,Karadag Mert Ali,ÇEÇEN Kürşat,Türkeri Levent Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia. Journal of Urological Surgery, vol.3, no.4, 2016, ss.119 - 122.
AMA	DEMİR A,Karadag M,ÇEÇEN K,Türkeri L Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia. Journal of Urological Surgery. 2016; 3(4): 119 - 122.
Vancouver	DEMİR A,Karadag M,ÇEÇEN K,Türkeri L Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia. Journal of Urological Surgery. 2016; 3(4): 119 - 122.
IEEE	DEMİR A,Karadag M,ÇEÇEN K,Türkeri L "Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia." Journal of Urological Surgery, 3, ss.119 - 122, 2016.
ISNAD	DEMİR, Aslan vd. "Abdominal or Transrectal Ultrasonographic Prostate Volume and Cystoscopic Prostatic Urethral Length Measurements to Determine the Surgical Technique for Prostatectomy in Patients with Benign Prostate Hyperplasia". Journal of Urological Surgery 3/4 (2016), 119-122.