Effect of short-term preoperative dutasteride and finasteride on bleeding after transurethral resection of the prostate: A prospective randomized study

IF 0.8 Q4 UROLOGY & NEPHROLOGY Urological Science Pub Date : 2021-05-01 DOI:10.4103/UROS.UROS_2_21
Nitesh Kumar, Sunil Palve, Karthik Marripeddi, Sanath Thantla
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Abstract

Purpose: Transurethral resection of the prostate (TURP) is the standard surgical treatment for patients with benign prostatic hyperplasia (BPH). Among the many complications of TURP, the most prevalent and serious complication is hemorrhage. The aim of the study was to compare the effect of short-term (2–4 weeks) pretreatment of BPH with dutasteride and finasteride on bleeding after TURP. Methods: A prospective randomized double-blinded study was conducted in Osmania General Hospital, a tertiary care center for a period of 2 years. Two hundred and forty patients who were planned for TURP were included and randomized into four groups; D2: 2 weeks of dutasteride, F2: 2 weeks of finasteride, P2: 2 weeks of placebo, and D4: 4 weeks of dutasteride. The primary outcome was to evaluate the volume of blood loss. Results: The baseline variables were comparable among the groups. Statistically significant differences were seen in total volume of blood loss (183.4 vs. 172.7 vs. 288.5 vs. 173.2 ml, P = 0.01), blood loss per minute of operating time (3.80 vs. 3.65 vs. 5.71 vs. 3.61 ml/min, P = 0.02), and blood loss per gram of resected prostatic tissue (7.61 vs. 7.43 vs. 11.57 vs. 7.21 ml/g, P = 0.008). Blood transfusion requirement was significantly more in the placebo group (11.8%) compared to other groups (P = 0.02). Conclusion: Short-term preoperative dutasteride and finasteride for 2 weeks are equally effective, and they significantly reduce the perioperative blood loss during TURP. Four weeks of dutasteride has no significant advantage when compared to its 2-week course.
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术前短期使用杜他雄胺和非那雄胺对经尿道前列腺电切术后出血的影响:一项前瞻性随机研究
目的:经尿道前列腺切除术(TURP)是治疗良性前列腺增生症(BPH)的标准手术方法。在TURP的众多并发症中,出血是最常见和最严重的并发症。本研究的目的是比较短期(2-4周)预处理前列腺增生与杜他司胺和非那雄胺对经尿道前列腺电切术后出血的影响。方法:在Osmania综合医院三级护理中心进行为期2年的前瞻性随机双盲研究。纳入240名计划进行TURP的患者,并将其随机分为四组;D2:2周的杜他司胺,F2:2周的非那雄胺,P2:2周的安慰剂,D4:4周的杜特司胺。主要结果是评估失血量。结果:基线变量在各组之间具有可比性。在总失血量(183.4 vs.172.7 vs.288.5 vs.173.2 ml,P=0.01)、每分钟手术时间失血量(3.80 vs.3.65 vs.5.71 vs.3.61 ml/min,P=0.02)、,以及每克切除前列腺组织的失血量(7.61 vs.7.43 vs.11.57 vs.7.21 ml/g,P=0.008)。与其他组相比,安慰剂组的输血需求显著增加(11.8%)(P=0.02)。与2周疗程相比,4周的杜他司胺没有显著优势。
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来源期刊
Urological Science
Urological Science UROLOGY & NEPHROLOGY-
CiteScore
1.20
自引率
0.00%
发文量
26
审稿时长
6 weeks
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