British journal of urology
-
Randomized Controlled Trial Comparative Study Clinical Trial
Transurethral prostatotomy versus transurethral prostatectomy in benign prostatic hypertrophy. A prospective randomised study.
Transurethral prostatotomy (TUT) in 24 patients was compared with transurethral prostatectomy (TUR) in 25 patients in a prospective randomised trial. All patients were aged 60 years or more and presented with symptomatic benign hypertrophy. One half of the patients had acute retention. ⋯ One patient became incontinent after TUR and 4 developed a stricture. The success rate after TUR was 78%. It was concluded that TUT and TUR produce similar functional results in cases where the gland is not too large.
-
Comparative Study
An evaluation of urologist-operated ultrasound and its use in the urological out-patient clinic.
The value of urologist-operated real time ultrasound scanning was assessed in the urological out-patient clinic. In terms of accuracy, the urologists' ultrasound scans of the genito-urinary tract proved comparable with those of the radiologists. ⋯ In economic terms considerable savings could be made by reducing the need for formal ultrasound referrals, since patients scanned at the out-patient clinic would be spared two further trips to hospital, one for the formal examination and another for the out-patient clinic review. Clinic turnover thus becomes more efficient and inconvenience to the patient and transport costs are lessened.
-
In this prospective trial a study was made of the effect of warm irrigation on blood loss during transurethral prostatectomy (TURP). A control group of 21 patients in whom irrigating fluid at operating room temperature (mean 21.5 degrees C) had been used was compared with a statistically comparable group of 19 patients in whom warm irrigating fluid (mean 33.1 degrees C) had been used. ⋯ It was found that warm irrigation decreased heat loss and shivering in the patient during TURP and led to improved comfort both for patient and operator. The method of heating the irrigation bags was safe and economical.
-
A prospective study on 90 patients undergoing vasectomy as day cases is reported. The use of a chlorhexidine gluconate bath or shower on day 1 and day 2 post-operatively reduced the wound infection rate from 37.8 to 6.7%. It is suggested, therefore, that this technique is an economical and successful way of reducing the incidence of infection in these patients.