ABSTRACT
OBJECTIVE: To compare peri-operative and short-term complications of open trans-vesicalprostatectomy (OP) as well as its functional outcomes with transurethral resection of theprostate (TURP) in management of benign prostatic hyperplasia with prostates sized 30 to100g.METHODOLOGY: This is a prospective study conducted in the department of generalsurgery, GCS Medical College, Hospital and Research Centre from December 2019 toDecember 2020. 24 patients who were candidates for the prostate surgery with prostatesbetween 30 to 100 g, randomly underwent OP or TURP. Secondary endpoints includedinternational prostate symptom score, residual urine volume, surgical complications, andpatients’ quality of life. Patients were followed up for 6 months after the operation.RESULTOut of 24, 12 underwent OP and TURP respectively. Mean of peak flow rate improvementwas 11.2 and 8 in OP and TURP groups, respectively. International prostate symptom scoreimprovement did not reveal statistically significant differences between the treatment groups.Re-operation due to residual prostate lobe, urethral stricture, and urinary retention wasperformed in 3 patients in TURP group versus no patient in OP group. Dysuria was morefrequent in patients that underwent TURP. Hospitalization duration was slightly longer inpatients that underwent OP.CONCLUSIONTURP is a valuable non-invasive surgical method with respect to absence of incision,effective symptom improvement and short hospitalization in BPH. Open prostatectomy easyto learning and more effective in large prostate size