outcome of transurethral resection of the prostate

To evaluate the effectiveness of transurethral resection of prostate. Design: Retrospective study. Place and Duration of Study: The study was carried out at the Department of Surgery, Khyber Teaching Hospital, Peshawar and Medicare Hospital [private], Peshawar, over a period of three years [May 1996-June 1999]. Subjects and The pre and postoperative data of 520 patients of benign prostatic hyperplasia and carcinoma of the prostate, was studied to establish the range of efficacy of the transurethral resection procedure. The age range of the patients was between 45-100 years. 520 cases in all were studied, of which, 470 cases were suffering from benign prostatic hyperplasia, and 50 cases from carcinoma of prostate. Twenty more cases of cancer were identified coincidentally on histology of the specimens. Of these, 450 cases [86.6%] presented with urinary retention and 25 cases [5%] with urinary symptoms only. The procedure was done under spinal or epidural anesthesia with a morbidity of about 19%. Three patients died of unrelated causes 3 - 4 weeks after surgery. It is concluded that transurethral resection of the prostate is a considerably safe procedure, and can effectively replace open prostatectomy in majority of cases with an acceptable morbidity and low mortality rates