ABSTRACT
PURPOSE: Transurethral resection of the prostate (TURP) is the most commonly performed surgical treatment in patients with benign prostatic hyperplasia (BPH). However, the indications of TURP are still controversial, especially in cases with a small prostate. To determine the efficacy of TURP in patients with a small prostate, we reviewed 138 patients who had undergone TURP. MATERIALS AND METHODS: Sixty-six patients with BPH under 30gm (Group I), and seventy-two with BPH over 30gm (Group II) were evaluated using the International Prostate Symptom Score (IPSS) and urine flow rates before and after the TURP. RESULTS: The urine flow rates were significantly improved after the TURP in Group II. The IPSS was also significantly improved after the TURP in both groups. The residual urine volume of both groups was significantly decreased after the TURP. CONCLUSIONS: Although TURP is usually performed in patients with a big prostate, our data shows that a TURP could also be available in patients with BPH under 30gm after several objective studies and with the desire of patients.