Transurethral resection of prostate versus open prostatectomy

ABSTRACT

A study on 150 cases of benign prostatic hypertrophy was carried out from January, 1990 to December, 1992 at the Urology Department of Liaquat Medical College, Jamshoro to compare the results of two operative procedures viz. TURP [75 cases] and open prostatectomy [75 cases]. The ages of the patients ranged from 50 to 100 years with maximum incidence [86.67%] between 50 to 70 years. Ninety five [63.33%] cases presented with urinary retention. Secondary haemorrhage seen in 10 [13.33%] cases of TURP and 15 [20%] cases of open prostatectomy and transient incontinence in 12% cases in TURP and 22.67% cases in open prostatectomy were the most common complications encountered. Wound infection [28%] and urinary leakage [6.67%] were only seen in open procedures. The average hospital stay with TURP was 8.3 days as compared to 22.4 days in open prostatectomy