OUTCOME OF TRANSURETHRAL RESECTION OF PROSTATE IN CLINICAL BENIGN PROSTATIC HYPERPLASIA
AbstractBackground: Benign prostatic hyperplasia (BPH) is a condition in which the prostate gland becomesenlarged. Some men with enlarged prostate glands may experience symptoms while some may havefew symptoms. Symptomatic improvement determines the successful outcome of surgical procedure ofTURP for clinical BPH patients. Objectives of this study were to assess the outcome of transurethralresection of prostate (TURP) in clinical BPH with the help of International Prostate Symptom Score(IPSS). Methods: This was descriptive case series study conducted at the Department of Urology,Liaquat University of Medical and Health Sciences, Jamshoro from November 2009 to April 2010. Allpatients who underwent TURP for clinical BPH were included in the study. Their preoperative IPSSwas done by asking irritative and obstructive symptoms. IPSS was calculated for patients whopresented with urinary retention by asking lower urinary tract symptoms before urinary retention. Eachsymptom carried a score of 0–5, and the total score was 35. After the TURP, IPSS was calculated on 1stfollow-up visit after 6 weeks and 2nd follow-up visit after 12 weeks. Outcome, was consideredfavourable if there was mild grade (IPSS <7) on 12th week after TRUP. Results: Total of 70 patients ofclinical BPH were included in study. Mean age of the patients was 63.1±3.0 yrs. Outcome oftransurethral resection of prostate was found to be favourable in 81.4% after 6 weeks in 1st follow-upvisit and in 62 (88.6%) patients after 12 weeks in second follow-up visit. Preoperatively mean IPSS was22.5 and postoperatively mean IPSS was 6.5. Conclusion: TURP is an effective and gold standardsurgical treatment option in the clinical BPH patients.Keywords: Benign prostatic hyperplasia, lower urinary tract, bladder outlet obstruction, acute urinaryretention, transurethral resection of prostate, TURP
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