Transurethral Reaction

Transurethral Reaction
   

• Hafin RG, Sandfeldt L, Nyman CR [South Hospital Stockholm; Huddinge Univ Hosp; Sweden] 
  Double-Blind Randomised study of symptoms Associated with Absorption of Glycine 1.5% or Mannitol 3% During Transurethral Reaction of the Prostate
  J. Urol 160: 397-401, 1998
  
  Conclusion :- Absorbing Glycine 1.5% during transurethral reaction is associated with greater risk of neurological symptoms than absorbing mannitol 3%
  
  The average patient absorbing more than 1000ml glycine soultion had 2 such symptoms, whereas the average patient absorbing a comparable amount of mannitol 3% had 0.5.
  

• Javle P, Jenkins SA, Machin DG, et al [Royal Liverpool Univ. Hosp, England]
  Grading of Benign Prostatic Obstruction Can Predict the outcome of Transurethral Prostatectomy
  J. Urol 160 : 1713-1717, 1998
  
  Urodynamic pressure studies to grade the obstruction an assess detrusor contractility are able to predict the 
  outcome of surgery.
  
  Patients with unequivocal obstruction and a  normal detrusor are good candidates for surgery, whereas patients with an equivocal obstruction and weak detrusor are not likely to benefit from the procedure.
  
  Although it adds considerably to our knowledge base, this study is not the final answer to the issue at the hand, namely whether or not pressure flow urodynamic studies ultimatimate are cost effective, eliminating patients from costly treatments who have a better chance of preceiving benefit from other, less invasive or less costly tretaments