Clinical efficacy of transurethral resections for prostate

ABSTRACT

A retrospective study was done on 300 patients who had TUR[P] from 1997 through 2001 for lower urinary tract symptoms [LUTS]. Patients who had palliative TURP with a known history, or of incidental findings of adenoma carcinoma of the prostate were also included. TURP for both BPH and carcinoma of the prostate were preformed with 5% dextrose solution. Operative time was 45.0 minutes. Interval to catheter removal ranges from 48 hours to 5 days [mean 26 hours]. Symptomatic improvement has been observed with minimal morbidity [15%]. Incidence of postoperative retention [3%], secondary hemorrhage [2%], epididymo-orchitis [1%], stricture urethra [3%], retrograde ejaculation [1%] and impotence [4.33%] were observed respectively. Nine patients [3%] revealed neoplastic changes in respected tissues. None of the patient developed incontinence of urine. Patients were followed up to six months