Is Laparoscopic Bladder Diverticulectomy after Transurethral Resection of the Prostate Safe and Effective? Comparison with Open Surgery

F. Porpiglia, R. Tarabuzzi, M. Cossu, F. Vacca, C. Terrone, C. Fiori, R. M. Scarpa

Risultato della ricerca: Contributo su rivistaArticolo in rivistapeer review

Abstract

Purpose: In a retrospective nonrandomized study, we compared our experience with transurethral resection of the prostate (TURP) plus sequential laparoscopic bladder diverticulectomy with a series of combined open bladder diverticulectomies with transvesical prostatectomy. Patients and Methods: We considered 12 consecutive patients (group A) having 16 diverticula who underwent sequential TURP and transperitoneal laparoscopic bladder diverticulectomy and 13 consecutive patients (group B) having 13 diverticula who underwent open bladder diverticulectomy and transvesical prostatectomy. We evaluated the size and position of the diverticulum, adenoma volume, operative time, postoperative hemoglobin variations, analgesia requirement, complications, postoperative hospital stay, and uroflowmetry results. Results: No statistically significant differences existed between the groups in adenoma volume or diverticulum size or position. However, a significantly longer operative time was recorded in group A. The endolaparoscopic approach proved to be statistically superior to open surgery regarding blood loss, postoperative analgesia requirement, and hospital stay. No intraoperative complications were recorded. In addition, no statistically significant difference was found in uroflowmetry results. Conclusions: In our experience, the endolaparoscopic approach has proved to be safe, effective, and minimally invasive and therefore superior to transvesical prostatectomy and open bladder diverticulectomy. Its only disadvantage is the longer operative time.

Lingua originaleInglese
pagine (da-a)73-76
Numero di pagine4
RivistaJournal of Endourology
Volume18
Numero di pubblicazione1
DOI
Stato di pubblicazionePubblicato - feb 2004
Pubblicato esternamente

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