Articles

Comparison between TRUS and TP: The patient perspective

Authors: S.Mustafa, W.Elabroni, A.McAdam,S. Elamin A.Thwaini

Urology Department, Belfast Health and Social Care Trust. United Kingdom

Accepted at the ANNUAL MEETING OF THE IRISH SOCIETY of UROLOGY (ISU)
Friday 23 and Saturday 24 September 2022

Introduction

Prostate cancer is the most common cancer in men with around 47,500 men in the UK diagnosed every year. Diagnostic approaches have evolved throughout the years, with a shift from transrectal (TRUS) biopsies to transperineal (TP) for various reasons. This study focuses on the patient experience of these procedures.

Method

We evaluated men who underwent prostatic biopsies between January 2019 and April 2020. 110 underwent local TP biopsy with a previous history of local TRUS biopsy. We used a modified validated patient-related outcome measure for our questionnaire for our cohort.

Results

The response rate was 78% (N=86). Overall, the majority of respondents (77%) prefer TP over TRUS biopsy. A large proportion, 86%, found TP to be a “minor- moderate procedure” with only 14% viewing it as a “major but tolerable under local anesthetic”. In terms of pain with TP biopsy, 22% of the respondents found the procedure to be completely painless, 43% experienced a little amount of pain, 29% found it to be somewhat painful, and 6% experienced a lot of pain during the procedure. 50% would not have a problem with undergoing a further TP biopsy in the future. Only 9% felt that it would be a major problem for them to undergo further procedures.

Conclusion

Our study demonstrates, that Transperineal Prostate biopsy appears to be preferable with patients having undergone both procedures; with the majority experiencing little or no pain with TP biopsies and a large proportion describing it as a “minor- moderate procedure” that they would not mind undergoing again if needed.

Day Case Prostate Operation- “the Weight is Lifted!”

Enlarged Prostate Treatment

Prostatic enlargement is one of the most common problems encountered in men. Around 50% of men in their 50s will have a prostate Enlargement. Half of those require medical treatment. If medicine fails then surgery is the solution.

However, men would be keen to avoid the most common side effects of prostate surgery. These are Mainly dry orgasm and urinary incontinence. Of course, men would be very keen to go back to their normal activities as soon as possible.

What are the side effects of prostate surgery?

There are several types of surgery for prostate enlargement. All have side effects including hospital stay and urinary catheterization, and the above-mentioned side effects.

What Is UroLift?

A few years back a new method has emerged. The concept of which included simply pinning the prostate lobes to the side, hence, opening the occlusion created by the prostate Enlargement. This is called prostatic urethral lift, or UroLift.

What are the Benefits of UroLift?

The whole process would take up to 15 minutes. The patient is hardly in need of a urinary catheter afterward. Most would go home on the same day. They would return to their daily activities almost immediately.

However, When first introduced, the UroLift Procedure was largely rejected, because of a lack of knowledge for the long-term effects.

Since then, several trials were carried out and the results were outstanding. The procedure proved its efficacy, safety, and tolerability.

Patient satisfaction was phenomenal. The objective results of the operation including the IPSS score and the flow rate were significant.

UroLift procedure has proven to be even safer for men who are high-risk surgical candidates.

This procedure is simply revolutionary. Intermediate-term results are very encouraging. Long-term effects are still awaited

For Enlarged Prostate Treatment and more information, book an Appointment with Dr. Ali Thwaini on +971 50 435 4853.