Transurethral resection; a critical evaluation of the results

ABSTRACT

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. Saleem Medical Complex Hospital Quetta. Period From April 1997 to December 2004. 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. 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