Transurethral resection of prostate versus transvesical prostatectomy

ABSTRACT

To compare the results of transurethral resection of prostate [TURP] and transvesical prostatectomy [TVP]. DESIGN: Retrospective study. SETTING: Department of Urology, Bahawal Victoria Hospital, Bahawalpur. PERIOD January 1995 to December 1998. MATERIAL AND METHODS: A total of 300 cases of BPH were included in the study. Out of 150 cases underwent TURP and in 150 cases TVP was done. The age of patients ranged from 48 to 85 years with maximum incidence [87.67%] between 51-70 years of age. Two hundred and thirty [76.66%] cases presented with urinary retention. Transient incontinence seen in 4[2.66%] cases of TURP and 10[6.66%] cases of TVP and clot retention in 2[1.33%] cases of TURP] and 8 [5.33%] cases of TVP, were the most common complications. Wound infection in 12 [8%] cases and suprapubic urinary fistula in 4[2.66%] cases were only seen in TVP. Mean hospital stay with TURP was 9.4 days as compared to 22.6 days with TVP. TURP is a better procedure than TVP because of its low complication rate and shorter hospital stay