[Transurethral resection or incision of the prostate in the immediate postoperative follow-up of renal transplantation].
OBJECTIVE
The objective of the study was to analyse the results of a transurethral resection of the prostate (TURP) or a transurethral incision of the prostate (TUIP) performed immediately after kidney transplantation.


METHODS
For the patients who had undergone a transurethral surgical procedure immediately following a renal transplantation, their files were systematically reviewed. Depending on prostate volume, TURP or TUIP was performed. The preoperative assessment included past medical history, clinical examination, retrograde cystography and PSA.


RESULTS
Among the 256 patients having had a renal transplantation between 2001 and 2006, 12 TURP and eight TUIP were done. The procedure was performed 15.2 days (10-30) after the transplantation. The average day of urethral catheter removal was 3.1 days (2-15) after the transurethral procedure. Mean postoperative maximum flow rate was 22.1 ml/s (18-33) and postvoiding residual urine volume was not significant. One patient suffered from two acute urinary retentions that were treated by temporary intermittent self-catherization. Four patients were diagnosed with acute prostatitis. The procedure for benign prostatic hyperplasia did not alter renal function. With a follow-up of 34.2 months (12-73), 18 patients had no urologic symptoms with a mean IPSS score of 4 (3-6).


CONCLUSIONS
TURP or TUIP gives good results immediately following a renal transplantation.
Védrine
N
N
Service d'urologie, hôpital Gabriel-Montpied, CHU de Clermont-Ferrand, BP 69, 63003 Clermont-Ferrand cedex 1, France.
Nsabimbona
B
B
Soares
P
P
Deteix
P
P
Boiteux
J-P
JP
Guy
L
L
D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011468:Prostatectomy; D011470:Prostatic Hyperplasia / Q000601:surgery*; D012189:Retrospective Studies; D020728:Transurethral Resection of Prostate