Transurethral resection versus open prostatectomy

ABSTRACT

A study of 150 cases of enlarged prostate has been carried out from January 1990 to December 1992 at the Urology Department of Liaquat Medical College Jamshoro. Age range was 50 to 100 years, 86.6% of patients presented between 50 to 70 years. Majority of them presented with retained catheter. Seventy five patients underwent TURP and the same number of patients underwent open prostatectomy. Comparison has been made regarding complications and hospital stay between the two procedures. Secondary haemorrhage seen in 13.3% [10 cases] in TURP and 20% [15 cases] in open prostatectomy and transient incontinence 12.05% [9 cases] in TURP and 22.7% [17 cases] in open prostatectomy were the common complications found in both procedures. Wound infection 28.0% [21 cases] and urinary leakage 6.7% [5 cases] were the complications seen only in open procedures. The average hospital stay with TURP was 8.3 days as compared to open prostatectomy 22.4 days