Self-reported quality of life measures of patients with benign prostatic hyperplasia on indwelling urethral catheters

Objective To evaluate the self-reported quality of life (QoL) measures of patients with benign prostatic hyperplasia (BPH) who are managed temporarily with indwelling urethral catheters. Patients and Methods Between February and April 2005; 40 consecutive patients with BPH (mean age: 69.5 years) on temporary indwelling catheters were asked to complete an eleven-item questionnaire in order to measure their self-reported physical and mental health status. Result Eighty percent of the study population (n=32) did not feel more irritable than usual; 75(n=30) had no feeling of worthlessness; 72.5(n=29) had urethral pain which had little or no interference with their daily activities; 62.5(n=25) still derived leisure from the things they used to enjoy; 60(n=24) were much less interested in sex or had lost interest in sex completely; while 80(n=32) felt that their quality of life was not impaired as a result of long-term catheterization. Conclusion Generally; one would expect that people who are subjected to long-term indwelling catheterization would report a poor QoL However; the majority of our patients did not have the feeling that their QoL was significantly hampered by their obvious disease burden which was probably due to the fact that urinary catheter drainage relieved their lower urinary tract symptoms

Scheduling tunneling TURP in carcinoma of the prostate

Objective Some patients with obstructing carcinoma of the prostate may fail to resume spontaneous voiding following bilateral orchidectomy. This group of patients would require an additional procedure in the form of limited transurethral resection of the prostate gland (tunneling TURP) to be able to resume spontaneous voiding. The objective of this study was to compare performing simultaneous tunneling TURP and bilateral orchidectomy on one hand with deferring channel TURP for at least one month after bilateral orchidectomy in cases where the patient has failed to resume spontaneous voiding on the other. Patients and Methods Forty-seven patients with obstructing carcinoma of the prostate were studied. Group I consisted of 22 patients who had simultaneous bilateral orchidectomy and tunneling TURP of the prostate; while Group II consisted of 25 patients who had tunneling TURP at least one month after bilateral orchidectomy. The groups were compared with regard to the ease of operation and postoperative management. Results Intra-operative bleeding; the need for repeated cleaning of the resection loop; the operating time and the hospital stay were significantly less in Group-II patients compared to Group I. Conclusion The results suggest that tunneling TURP when performed at least one month after bilateral orchidectomy allows enough time for a significant reduction of tissue friability; tissue adhesion to the resection loop; tumor circulation; intra-operative bleeding; operating time and postoperative hospital stay