TRANSURETHRAL RESECTION

A CRITICAL EVALUATION OF THE RESULTS.

Abstract

Objective: To establish the current usage and results of transurethral resection
of prostate in patients of benign prostatic obstruction (BPO) who presented with severe irritative and obstructive
prostatic symptoms. Setting: Saleem Medical Complex Hospital Quetta. Period: From April 1997 to December 2004
Patients & Methods: Transurethral resections for BPO were performed with 5% dextrose water in 500 consecutive
patients. All these patients were followed for early and late complications and followed up to 6 months after TURP.
Results: Significant symptomatic improvement has been observed with minimal morbidity (14 %). None of the patient
had significant hematuria and TURP syndrome. Mean operative time was 45.0 minutes. Mean interval to catheter
removal was 26 hours. Only 15 patients (3%) revealed neoplastic changes in resected tissues. Incidence of secondary
hemorrhage, stricture urethra, epididymo-orchitis, retrograde ejaculation and impotence were observed in 10 (2%), 20
(4%), 10 (2%), 5 (1%) and 20 (4%) patients respectively. Only 15 patients (3 %) who developed post-operative retention
and Re-TURP were performed in two patients for the residual prostatic tissue. None of the patient developed
incontinence of urine. Pre operative and postoperative history of libido and sexual behavior was also assessed.