title: [Value of suprapubic cystostomy in bipolar transurethral resection of the prostate for benign prostatic hyperplasia below 80 gram].
abstract: OBJECTIVE
  To investigate the perioperative benefit of suprapubic cystostomy in bipolar transurethral resection of the prostate (B-TURP) for treatment of benign prostatic hyperplasia (BPH) below 80 g.
  
  
  METHODS
  This retrospective study was conducted in patients undergoing B-TURP for BPH below 80 g, who were stratified with respect of suprapubic cystostomy in B-TURP. The end points including the safety, efficiency, complications and nursing care were compared between the two groups.
  
  
  RESULTS
  A total of 585 patients were enrolled, including 366 in cystostomy group and 219 in non-cystostomy group. The two groups showed similar postoperative reduction of serum sodium (0.06 vs 0.54 mmol/L, P>0.05), hematocrict (2.44% vs 2.89%, P>0.05), and blood hemoglobin concentration (9.62 vs 10.42 g/L, P>0.05), with comparable weight of resected prostate (42.50 vs 43.76 g, P>0.05). The operation time was significantly longer in cystostomy group than in non-cystostomy group (90.75 vs 76.28 min, P<0.05), but the rate of blood transfusion and incidences of postoperative fever and catheter blocking were comparable between the two groups. Compared with the non-cystostomy group, cystostomy group had significantly longer time for bladder washing (3.15 vs 2.57 days, P<0.05), catheter indwelling time (5.19 vs 4.15 days, P<0.05), and hospital stay after the operation (7.36 vs 5.65 days, P<0.05).
  
  
  CONCLUSIONS
  In B-TURP for BPH below the weight of 80 g, suprapubic cystostomy is associated with a longer time for operation, bladder washing, catheter indwelling and postoperative hospital stay, and thus provides no obvious benefits for the patients.
authors.affiliation: Department of Urologic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.E-mail: 458249886@qq.com.
authors.forename: Qicheng
authors.initials: Q
authors.lastname: Long
authors.forename: Zhe
authors.initials: Z
authors.lastname: Yu
authors.forename: Guangzheng
authors.initials: G
authors.lastname: Lin
authors.forename: Pengliang
authors.initials: P
authors.lastname: Chen
authors.forename: Qiang
authors.initials: Q
authors.lastname: Wei
authors.forename: Wanlong
authors.initials: W
authors.lastname: Tan
mesh_terms: D002408:Catheters, Indwelling; D003559:Cystostomy; D006454:Hemoglobins; D006801:Humans; D007902:Length of Stay; D008297:Male; D061646:Operative Time; D011184:Postoperative Period; D011470:Prostatic Hyperplasia / Q000601:surgery*; D012189:Retrospective Studies; D020728:Transurethral Resection of Prostate; D016896:Treatment Outcome; D001743:Urinary Bladder
chemical_list: D006454:Hemoglobins