Benign prostatic obstruction successfully treated by transurethral reselection

ABSTRACT

To evaluate the results of transurethral resection of prostate [TURP] in patients having benign prostatic obstruction [BPO]. Five hundred patients were operated in 7 years using 5% dextrose in water and 26 French Storz resectoscope. All patients were followed for early and late complications up to 12 months. Significant symptomatic improvement was observed in majority of the cases with a morbidity of 15 %. None of the patient experienced significant hematuria or TURP syndrome. Mean operative time was 45.0 minutes with a mean interval to catheter removal of 26 hours. Twenty patients [4 %] developed post-operative retention due to residual clots. Re-TURP was performed in 10 patients for residual prostatic tissue. Histology revealed neoplastic changes in 15 patients [3%]. Secondary hemorrhage and erectile dysfunction were seen in 20 cases each [4%] while 10 cases each [2%],had epididymo-orchitis and retrograde ejaculation,5 cases had stricture urethra. TUR [P] is an effective procedure for benign prostatic hypertrophy which has minimum morbidity and low mortality. It has replaced open prostatectomy in majority of cases