Utrata krwi po przezcewkowej elektroresekcji gruczołu krokowego w zależności od zastosowanego uprzednio leczenia zachowawczego łagodnego rozrostu stercza

Dadej, Roland
September 2008
Polish Journal of Urology / Urologia Polska;2008, Vol. 61 Issue 4, p297
Academic Journal
The aim of the study. Evaluation of the blood loss in patients with benign prostatic hyperplasia (BPH) after transurethral resection of the prostate (TUR-P) in regards to previously chosen conservative treatment method. Materials and methods. The group of 119 patients was evaluated. Patients formed homogenous population as regards to the baseline laboratory test results. The size of the prostate was tested with transabdominal ultrasound scan (volume of the gland was bigger in patients receiving finasteride therapy). The haemoglobin and haematocrit levels were measured before and after the surgery. The study results were statistically analyzed. Results. In the patients on finasteride therapy prior to the TUR-P, the haemoglobin and haematocrit levels in the perioperative period were considerably higher than those within the patient groups treated with alpha blockers or receiving no medication. Conclusions. Finasteride treatment in the patients' preparation for the TUR-P markedly reduces the risk of perioperative bleeding, and thus - minimizes the transfusion of blood derivative preparations risk. 5-alpha-reductase inhibitor may be taken into account as a preoperative drug before the surgery in patients with BPH, or those who do not agree for blood transfusion or any blood derivatives.


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