Residual prostatic symptoms; persisting after transurethral resection of prostate for prostatic hyperplasia

To see the residual prostatic symptoms after TURP for PH. DESIGN: Case study period from Nov 1994 to Dec 1995. SETTING: Department of Urology Mayo Hospital Lahore. PATIENTS AND METHODS: One hundred consecutive patients admitted for BPH underwent TURP and were followed for four months after removal of catheter on first day, one week, one month, two months and four months. They were asked about the symptoms and were examined thoroughly at each visit. Patients with neurological deficits, diabetes, external genital pathology, urethral strictures and malignancy were excluded form the study. Patients were divided into two groups. Group I [below 60 years] and group II [above 60 years] to see the effect of age on symptoms. Out of preoperative symptoms, retention, frequency, urgency, sense of incomplete emptying, poor urinary stream were found in 73.8%, 85.7%, 23.8%, 9.5% and 80.9% respectively for patients of group I [age below 60 years]. These figures for patients of group II [age above 60 years] were 84.5%, 79.3%, 20.7%, 13.8% and 86.2% respectively. At fourth month of follow up for group I, urinary retention [0%], mild degree of straining at micturition [4.8%], poor urinary stream [2.4%], frequently [14.3%], sense of incomplete emptying [7.1%]. For group II these figures are 0%, 3.5%, 3.4%. 24.2% and 6.9% respectively