Transurethral Resection of the Prostate in Emergency Treatment

ABSTRACT

Objective To investigate the effect of transurethral resection of prostate(TURP) on patients with benign prostatic hyperplasia(BPH) in emergency treatment.MethodsA total of 37 cases of BPH were treated emergently with TURP in our hospital from January 2000 to December 2007.The blood pressure and serum glucose of the patients were controlled before the procedure.Lithotripsy was performed on the cases with bladder stones.ResultsIn our patients,no blood transfusion,surgery-related death,massive hemorrhage,or transurethral resection syndrome occurred.The blood loss ranged from 100 to 400 ml with a mean of 180.BPH was confirmed by pathological examination after the operation.Two patients were diagnosed as having prostatic cancer and thus received bilateral testectomy and intermittent androgen deprivation therapy.The two patients were followed up for 12 months;during the period none of them had dysuria,and laboratory examination showed the level of specific prostatic antigen ranged from 0 to 4 ng/ml.In the other patients,3 developed urinary stricture in 1 to 3 months after the treatment,and then was cured by dilating the urinary tract regularly for 3 months.A mean of 9-month(3 to 24) follow-up was available in our patients.The reexamination carried out during the follow-up sowed that the maximum urine flow rate increased [(8.2?3.3) ml/s vs(19.3?3.1) ml/s,t=-5.435,P=0.000] and the IPSS [(22.5?5.1) vs(5.3?1.2),t=7.136,P=0.000] and QOL [(4.5?1.1) vs(2.0?0.7),t=2.494,P=0.000] scores decreased significantly after the operation.ConclusionsFor the BPH patients with indications for emergency treatment,TURP is effective.However,the operation should be performed by experienced surgeons since it is not a regular treatment.Prostatic cancer should be excluded during the operation.