Surgical management of BPH in patients on oral anticoagulation: Transurethral bipolar plasma vaporization in saline versus transurethral monopolar resection of the prostate: Commentary

摘要

Introduction: To compare postoperative outcomes of patients on oral anticoagulation (OA) treated with transurethral plasma vaporization of the prostate in saline water (TUVis) and transurethral resection of the prostate (TURP).Materials and Methods: Between January and December 2009, 111 patients on OA therapy were treated with either TURP or TUVis in eight centers. Types of OA and peri-operative management were collected. Postoperative outcomes were statistically compared between the two groups.Results: A total of 57 (51%) and 54 (49%) patients were treated with TURP and TUVis, respectively. Types of OaA were not significantly different between the two groups, but bladder catheterization prior to surgery was more frequently observed in the TUVis group. Before surgery, 28 patients were treated with warfarin alone, 74 with a platelet aggregation inhibitor (PAI) alone, and 9 with a combination of both. PAI was withdrawn preoperatively in 50 patients. All treatments with warfarin were switched for heparin.