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Secondary hemorrhage after bipolar transurethral resection and vaporization of prostate

Content Provider	Scilit
Author	Yee, Chi-Hang Wong, Joseph Hon-Ming Chiu, Peter Ka-Fung Teoh, Jeremy Yuen-Chun Chan, Chi-Kwok Hou, See-Ming Ng, Chi-Fai Chan, Eddie Shu-Yin
Copyright Year	2016
Abstract	Introduction: We evaluated the factors associated with secondary hemorrhage after bipolar transurethral resection of prostate (TURP) and vaporization of prostate. Materials and Methods: The perioperative data of patients undergoing endoscopic surgery for benign prostatic hyperplasia (BPH) were prospectively collected. Procedures involved included bipolar TURP, bipolar vaporization of prostate, and hybrid bipolar TURP/vaporization of prostate. Secondary hemorrhage was defined as bleeding between 48 h and 30 days postsurgery requiring hospital attendance with or without admission. Risk factors for secondary hemorrhage were analyzed. Results: From 2010 to 2013, 316 patients underwent bipolar surgery for BPH. Bipolar TURP accounted for 48.1% of the procedures, bipolar vaporization accounted for 20.3% of the procedures, and the rest were hybrid TURP/vaporization of prostate. Among this cohort of patients, fifty patients had secondary hemorrhage with hospital attendance. Consumption of platelet aggregation inhibitors (PAIs) was found to be associated with secondary hemorrhage (P < 0.0005). Age, prostate volume, operation type, the use of 5-alpha reductase inhibitors, and being with a urethral catheter before operation were not found to be statistically significant risk factors for secondary hemorrhage. Conclusions: Secondary hemorrhage after bipolar surgery for BPH is a common event. Consumption of PAI is a risk factor for such complication.
Related Links	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100153/pdf
Ending Page	463
Page Count	6
Starting Page	458
File Format	XHTML
ISSN	09747796
e-ISSN	09747834
DOI	10.4103/0974-7796.192110
Journal	Urology Annals
Issue Number	4
Volume Number	8
Language	English
Publisher	Medknow
Access Restriction	Open
Subject Keyword	Andrology Benign Prostatic Hyperplasia Hemorrhage Transurethral Resection of Prostate Urology Annals, Volume 8, Issue 4
Content Type	Text
Resource Type	Article
Subject	Urology

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