Is Warm Temperature Necessary to Prevent Urethral Stricture in Combined Transurethral Resection and Vaporization of Prostate? - 07/08/11
, Sang Kyi Lee b, Suk Hee Han a, Sang Deuk Kim a, Kyung Soo Choi a, Myung Ki Kim a
Reprint requests: Jong Kwan Park, M.D., Department of Urology, Chonbuk National University Medical School, 2-20, Keum-Am-Dong-San, Chonju 560-180 South KoreaRésumé |
Objectives |
To compare the effect of warm and room temperature irrigation solution on the incidence of urethral stricture during combined transurethral resection and vaporization of the prostate (CTURVP). Urethral stricture after transurethral surgery of the prostate is a bothersome complication. Warm irrigation improves the blood flow and might decrease the incidence of urethral stricture compared with the use of room temperature irrigation, which decreases the blood flow in the urethral mucosa, resulting in ischemic injury.
Methods |
The patients who underwent CTURVP were divided into those receiving only room temperature irrigation solution (group 1, 75 patients) or warm irrigation solution with a system maintaining the temperature of the ventral penile skin at about 36°C continuously (group 2, 78 patients). At follow-up, 1, 3, and 6 months later, the International Prostate Symptom Score and peak urine flow rate were evaluated.
Results |
The temperature of the ventral penile skin was 20°C and 36°C in groups 1 and 2, respectively. The rate of urethral stricture was 21.3% in group 1 and 6.3% in group 2 at the end of 6 months of follow-up (P = .002).
Conclusions |
The results of our study have shown that maintaining the temperature of the urethra with warm irrigation solution during CTURVP probably decreases the incidence of urethral stricture. The temperature in the urethra could be another important factor in stricture formation after CTURVP.
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| This study was supported by grants from the Clinical Trial Center of Chonbuk National University Hospital (2007) from the Ministry of Health and Welfare, Republic of Korea. |
Vol 74 - N° 1
P. 125-129 - juillet 2009 Retour au numéro
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