Prognostic Value of Peak Flow Rate and Post Void Residual Urine Measured by Abdominal Compressing Immediately after TURP / 대한비뇨기과학회지

PURPOSE: Although a transurethral resection of the prostate (TURP) is the most effective treatment method for benign prostatic hyperplasia (BPH), it is difficult to predict the exact prognosis with this method. The peak flow rate (PFR) and post void residual urine (PVR), measured by abdominal compressing immediately after TURP in the operating room, were evaluated to see if they correlated with the surgical outcome. MATERIALS AND METHODS: Fifty patients, having undergone TURP, had their PFR and PVR measured by abdominal compressing, both before and after TURP in the operating room. The abdomen was compressed to 100cm H2O of intravesical pressure with a concrete test hammer. All patients were requested to undergo uroflowmetry, and their international prostate symptom scores (IPSS) were assessed, 3 months after surgery. RESULTS: The PFR and PVR, measured by abdominal compressing immediately after TURP, correlated well with the PFR measured 3 months after the TURP (p<0.05). Higher PFR, lower PVR and a greater improvement in the IPSS were observed, but these were not statistically significant. CONCLUSIONS: In conclusion, the PFR and PVR, measured by abdominal compressing immediately after TURP, are thought to be a good parameter for predicting the prognosis of TURP.

Clinical Observation and Comparison Between the Results of Transurethral Resection and Open Prostatectomy on the Benign Prostatic Hypertrophy / 대한비뇨기과학회지

The results of the transurethral resection and open prostatectomy undergone on 87 cases of the benign prostatic hypertrophy from January 1980 to July l986 were reviewed and compared. The following results were obtained. l. TURP was performed in 52 cases of the benign prostatic hypertrophy and open prostatectomy in 35 cases. 2. Mean operation time was shorter in TURP than in open prostatectomy (77.7min. in TURP, 123.3 min. in open prostatectomy). 3. Mean weight of the resected tissue was 7.9gm in TURP and 37.3gm in open prostatectomy. 4. Mean amount of the transfused blood was 51ml in TURP and 627ml in open prostatectomy, and blood transfusion in TURP was required only in a few cases (7.7%). S. Mean duration of the postoperative catheter indwelling was shorter in TURP than in open prostatectomy(6.1 days in TURP, 11.1 days in open prostatectomy). 6. Mean duration of the postoperative hospital stay in TURP was shorter than in open prostatectomy (8.7 days in TURP, l5.4 days in open prostatectomy). 7. Most frequent complications were transient urinary incontinence and rebleeding, and their incidences were slightly higher in open prostatectomy than in TURP.