Rehmatullah Soomro, Javed Rajput, Ghulam Akbar Arain.
Can an experienced urologist do a better TURP?.
Pak J Surg Jan ;26(2):138-41.

Objective: To evaluate the infl uence of the urologist’s experience on the surgical results and complications of transurethral resection of the prostate (TURP). Patients and methods: This was a prospective study done between May 2008 to May 2009. Sixty-seven patients undergoing transurethral resection of the prostate without the use of a video camera were randomly allocated into two groups according to the urologist’s experience: a junior urologist with moderate experience of transurethral resections of the prostate (Group I – 34 patients), a senior urologist with vast transurethral resection of the prostate experience (Group II – 33 patients); The following parameters were recorded: the weight of resected tissue, the duration of the resection procedure and how many patients among each group needed a second TURP. Results: The weight of resected tissue per minute was approximately four times higher in group II than in groups I. Also the resection time was significantly low in group II. Signifi cant number of patients needed a second TURP in group I. Conclusion: The senior urologist was capable of resecting four times more tissue per time unit than the more inexperienced surgeons. Therefore, a surgeon’s experience may be important to reduce the risk of secondary TURP due to recurring adenomas or adenomas that were incompletely resected.

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