title: Selective transurethral resection of the prostate combined with transurethral incision of the bladder neck for bladder outlet obstruction in patients with small volume benign prostate hyperplasia (BPH): a prospective randomized study.
abstract: OBJECTIVE
  Transurethral resection of the prostate (TURP) has a high failure rate in patients with small volume benign prostate hyperplasia (BPH) with bladder outlet obstruction (BOO). We describe and report the results of an alternative surgical method, selective transurethral resection of the prostate (STURP) in combination with transurethral incision of the bladder neck (TUIBN).
  
  
  METHODS
  Patients were randomized to receive TURP or STRUP+TUIBN in combination with TUIBN. Maximum urinary flow rate (Qmax), voided volume, and post voiding residual volume (PVR) were assessed at baseline and at 1, 3, and 6 months after surgery. Efficacy of treatment was assessed by lower urinary tract symptoms and IPSS.
  
  
  RESULTS
  Sixty three patients received STRUP+TUIBN and 61 received TURP. Surgical time, amount of prostate tissue resected, and blood loss was the same in both groups (all, p>0.05). The mean duration of follow-up was 9.02 and 8.53 months in patients receiving TURP and STRUP+TUIBN, respectively. At 6 months postoperatively, IPSS was 4.26±1.22 and 4.18±1.47 in patients receiving TURP and STRUP+TUIBN, respectively (p>0.05), and the Qmax in patients receiving STRUP+TUIBN was markedly higher than in those receiving TURP (28.28±6.46 mL/s vs. 21.59±7.14 mL/s; p<0.05). Bladder neck contracture and urinary tract infections were observed in 3 and 5 patients receiving TURP, respectively, and none in STURP.
  
  
  CONCLUSIONS
  STRUP+TUIBN may offer a more effective and safer alternative to TURP for small volume BPH patients.
authors.affiliation: Department of Urology, Urologic Institute of PLA, Southwestern Hospital, Third Military Medical University, Chongqing, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Li
authors.forename: Jin-hong
authors.initials: JH
authors.lastname: Pan
authors.forename: Qi-gui
authors.initials: QG
authors.lastname: Liu
authors.forename: Peng
authors.initials: P
authors.lastname: He
authors.forename: Si-ji
authors.initials: SJ
authors.lastname: Song
authors.forename: Tao
authors.initials: T
authors.lastname: Jiang
authors.forename: Zhan-song
authors.initials: ZS
authors.lastname: Zhou
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D006965:Hyperplasia / Q000150:complications; D008297:Male; D011446:Prospective Studies; D011467:Prostate / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome; D014521:Urethra; D001743:Urinary Bladder / Q000601:surgery*; D001748:Urinary Bladder Neck Obstruction / Q000150:complications* / Q000601:surgery*