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The Effect of Transurethral Enucleation Resection of the Prostate for Benign Prostatic Hyperplasia on Immune and Stress Response

Received: 4 August 2016     Accepted: 13 August 2016     Published: 2 September 2016
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Abstract

This thesis aims to examine the effects of the systemic immune response triggered by the transurethral enucleation and resection of the prostate (TRERP). 60 patients with benign prostatic hyperplasia (BPH) were randomly classified into enucleation group and resection group. The level of WBC, serum IL-6, IL-8, CRP, IgG, IgA, IgM, CD4+, CD8+,and ratio of CD4+ to CD8+ (BPH)were compared and analyzed preoperatively and on the 1st, 3rd, 5th of postoperative day. The result demonstrates the statistical significance of the differences between the two groups on the amount of resected tissues, postoperative blood loss, and operation time. To the contrary, there was no statistical significance of the differences on WBC, IL-6, IL-8 and CRP level. To elaborate, on the 1st postoperative day, the values of WBC, IL-6, IL-8 and CRP level were significantly higher, whereas the values of IgG, IgA, IgM, CD4+, CD8+ level and ratio of CD4+ to CD8+ of both groups were significantly lower. On the 3rd postoperative day, there was statistical significance of the differences between two groups on WBC, IL-6, IL-8, CRP level. On the 5th post operative day, however, no statistical significance of differences existed on the IgG, IgA, IgM, CD4+, CD8+ level and ratio of CD4+ to CD8+. It is concluded that compared to the transurethral resection of the prostate (TURP) for Benign prostatic hyperplasia (BPH), TRERP has prominent advantages of more radical resection, less blood loss and less immune suppression.

Published in Journal of Surgery (Volume 4, Issue 5)
DOI 10.11648/j.js.20160405.12
Page(s) 95-99
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Transurethral Enucleationof Prostate, Transurethral Resection of Prostate, Trauma, Stress Response

References
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Cite This Article
  • APA Style

    Bo-xiang Yuan, Bin Pan, Hui-lan Zeng, Yong-lu Wu, Shao-jiang Wang, et al. (2016). The Effect of Transurethral Enucleation Resection of the Prostate for Benign Prostatic Hyperplasia on Immune and Stress Response. Journal of Surgery, 4(5), 95-99. https://doi.org/10.11648/j.js.20160405.12

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    ACS Style

    Bo-xiang Yuan; Bin Pan; Hui-lan Zeng; Yong-lu Wu; Shao-jiang Wang, et al. The Effect of Transurethral Enucleation Resection of the Prostate for Benign Prostatic Hyperplasia on Immune and Stress Response. J. Surg. 2016, 4(5), 95-99. doi: 10.11648/j.js.20160405.12

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    AMA Style

    Bo-xiang Yuan, Bin Pan, Hui-lan Zeng, Yong-lu Wu, Shao-jiang Wang, et al. The Effect of Transurethral Enucleation Resection of the Prostate for Benign Prostatic Hyperplasia on Immune and Stress Response. J Surg. 2016;4(5):95-99. doi: 10.11648/j.js.20160405.12

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  • @article{10.11648/j.js.20160405.12,
      author = {Bo-xiang Yuan and Bin Pan and Hui-lan Zeng and Yong-lu Wu and Shao-jiang Wang and Jie Chen},
      title = {The Effect of Transurethral Enucleation Resection of the Prostate for Benign Prostatic Hyperplasia on Immune and Stress Response},
      journal = {Journal of Surgery},
      volume = {4},
      number = {5},
      pages = {95-99},
      doi = {10.11648/j.js.20160405.12},
      url = {https://doi.org/10.11648/j.js.20160405.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20160405.12},
      abstract = {This thesis aims to examine the effects of the systemic immune response triggered by the transurethral enucleation and resection of the prostate (TRERP). 60 patients with benign prostatic hyperplasia (BPH) were randomly classified into enucleation group and resection group. The level of WBC, serum IL-6, IL-8, CRP, IgG, IgA, IgM, CD4+, CD8+,and ratio of CD4+ to CD8+ (BPH)were compared and analyzed preoperatively and on the 1st, 3rd, 5th of postoperative day. The result demonstrates the statistical significance of the differences between the two groups on the amount of resected tissues, postoperative blood loss, and operation time. To the contrary, there was no statistical significance of the differences on WBC, IL-6, IL-8 and CRP level. To elaborate, on the 1st postoperative day, the values of WBC, IL-6, IL-8 and CRP level were significantly higher, whereas the values of IgG, IgA, IgM, CD4+, CD8+ level and ratio of CD4+ to CD8+ of both groups were significantly lower. On the 3rd postoperative day, there was statistical significance of the differences between two groups on WBC, IL-6, IL-8, CRP level. On the 5th post operative day, however, no statistical significance of differences existed on the IgG, IgA, IgM, CD4+, CD8+ level and ratio of CD4+ to CD8+. It is concluded that compared to the transurethral resection of the prostate (TURP) for Benign prostatic hyperplasia (BPH), TRERP has prominent advantages of more radical resection, less blood loss and less immune suppression.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - The Effect of Transurethral Enucleation Resection of the Prostate for Benign Prostatic Hyperplasia on Immune and Stress Response
    AU  - Bo-xiang Yuan
    AU  - Bin Pan
    AU  - Hui-lan Zeng
    AU  - Yong-lu Wu
    AU  - Shao-jiang Wang
    AU  - Jie Chen
    Y1  - 2016/09/02
    PY  - 2016
    N1  - https://doi.org/10.11648/j.js.20160405.12
    DO  - 10.11648/j.js.20160405.12
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 95
    EP  - 99
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20160405.12
    AB  - This thesis aims to examine the effects of the systemic immune response triggered by the transurethral enucleation and resection of the prostate (TRERP). 60 patients with benign prostatic hyperplasia (BPH) were randomly classified into enucleation group and resection group. The level of WBC, serum IL-6, IL-8, CRP, IgG, IgA, IgM, CD4+, CD8+,and ratio of CD4+ to CD8+ (BPH)were compared and analyzed preoperatively and on the 1st, 3rd, 5th of postoperative day. The result demonstrates the statistical significance of the differences between the two groups on the amount of resected tissues, postoperative blood loss, and operation time. To the contrary, there was no statistical significance of the differences on WBC, IL-6, IL-8 and CRP level. To elaborate, on the 1st postoperative day, the values of WBC, IL-6, IL-8 and CRP level were significantly higher, whereas the values of IgG, IgA, IgM, CD4+, CD8+ level and ratio of CD4+ to CD8+ of both groups were significantly lower. On the 3rd postoperative day, there was statistical significance of the differences between two groups on WBC, IL-6, IL-8, CRP level. On the 5th post operative day, however, no statistical significance of differences existed on the IgG, IgA, IgM, CD4+, CD8+ level and ratio of CD4+ to CD8+. It is concluded that compared to the transurethral resection of the prostate (TURP) for Benign prostatic hyperplasia (BPH), TRERP has prominent advantages of more radical resection, less blood loss and less immune suppression.
    VL  - 4
    IS  - 5
    ER  - 

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Author Information
  • Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China

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