-Original-

Treatment Results of Transurethral Resection of the Prostate by Non-Japanese Board-Certified Urologists for Benign Prostate Hyperplasia: Analysis by Resection Volume

Yasutomo Suzuki^1,2, Yuka Toyama², Satoko Nakayama², Shunichiro Nomura², Tadaaki Minowa¹, Kuniaki Tanabe¹ and Yukihiro Kondo²

¹Department of Urology, Nippon Medical School Chiba Hokusou Hospital, Chiba, Japan
²Department of Urology, Nippon Medical School, Tokyo, Japan

Introduction: Transurethral resection of the prostate (TURP) is the gold standard for surgical treatment of benign prostatic hyperplasia (BPH), but it has complications such as bleeding and transurethral resection syndrome. The treatment results of TURP performed by non-Japanese board-certified urologists were examined, and the results were analyzed according to the resection volume to determine how much resection volume was suitable for non-Japanese board-certified urologists.
Materials and Methods: A total of 72 cases that underwent TURP for BPH at our hospital were examined. The patients were divided into three groups by resection volume (<20 g, 20-30 g, >30 g). The operators were five non-Japanese board-certified urologists. Various clinical factors were examined among the three groups before and after TURP.
Results: The average operation time and resection volume were significantly different among the groups. There were more transfused cases with greater resection volume. The changes from before to after TURP in the International Prostate Symptom Score, total prostate volume, and maximum flow rate were significantly different among the three groups, but the rates of these changes were not.
Conclusions: In this study, TURP performed by non-Japanese board-certified urologists was relatively safe and achieved sufficient efficacy. Cases with resection volume less than 20 g appear the most appropriate for non-Japanese board-certified urologists.

J Nippon Med Sch 2017; 84: 73-78

Keywords
transurethral resection of the prostate, benign prostatic hyperplasia, non-Japanese Board-Certified Urologists, resection volume

Correspondence to
Yasutomo Suzuki, MD, Department of Urology, Nippon Medical School Chiba Hokusou Hospital, 1715 Kamagari, Inzai, Chiba 270-1694, Japan
yasu17@nms.ac.jp

Received, June 29, 2016
Accepted, March 23, 2017