Scheduling tunneling TURP in carcinoma of the prostate

ABSTRACT

Objective Some patients with obstructing carcinoma of the prostate may fail to resume spontaneous voiding following bilateral orchidectomy. This group of patients would require an additional procedure in the form of limited transurethral resection of the prostate gland (tunneling TURP) to be able to resume spontaneous voiding. The objective of this study was to compare performing simultaneous tunneling TURP and bilateral orchidectomy on one hand with deferring channel TURP for at least one month after bilateral orchidectomy in cases where the patient has failed to resume spontaneous voiding on the other. Patients and Methods Forty-seven patients with obstructing carcinoma of the prostate were studied. Group I consisted of 22 patients who had simultaneous bilateral orchidectomy and tunneling TURP of the prostate; while Group II consisted of 25 patients who had tunneling TURP at least one month after bilateral orchidectomy. The groups were compared with regard to the ease of operation and postoperative management. Results Intra-operative bleeding; the need for repeated cleaning of the resection loop; the operating time and the hospital stay were significantly less in Group-II patients compared to Group I. Conclusion The results suggest that tunneling TURP when performed at least one month after bilateral orchidectomy allows enough time for a significant reduction of tissue friability; tissue adhesion to the resection loop; tumor circulation; intra-operative bleeding; operating time and postoperative hospital stay