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Abstract
Background: Transurethral resection of prostate (TURP) to treat benign enlargement of prostate (BEP) has been the gold standard for decades. Hence, the present study was undertaken to assess clinical features, indications and outcomes of TURP in patients with BEP in a Tertiary Care Centre. Method: A total 100 patients of age >50 years presented with symptoms of BPH, BPE and lower urinary tract symptoms (LUTS) were enrolled in the study. A detailed history, all relevant investigations were done and symptoms were assessed by International Prostatic Symptom Score (IPSS) System. Patients were managed either medically on outpatient basis or admitted and posted for surgery (TURP) and followed at discharge and at 3 months if undergone surgery or once in 3 months in case of medical management. Results: The mean age of patients was 65.13±7.84 years. All patients presented with LUTS which were either obstructive (52%) or irritative symptoms (48%). Mean prostate specific antigen (PSA) of patients was 3.50±1.33ng/ml. The mean post-operative IPSS score at 3 months follow up was significantly lesser (12.11±5.08) than preoperative (baseline) score (23.13±8.60), (P<0.001). Preoperatively majority of patients (67%) had severe symptoms while postoperatively at 3 months follow up 89% of patients had mild symptoms. The preoperative mean maximum urinary flow rate (Qmax) was 9.63±2.65 mL/s and postoperatively at time of discharge Qmax was 19.68±2.45 mL/s and at 3month follow up it was 22.57±2.54 mL/s, (P<0.001). 4% patients developed UTI, 2% developed urinary incontinence and 1% patient presented with secondary haemorrhage. Conclusion: TURP is an effective treatment of BPH as assessed by IPSS and urinary flow parameter (Qmax) and is associated with minimal complications.
Keywords:
Benign Prostatic Hyperplasia, Transurethral resection of prostate, International Prostatic Symptom Score, Antigen, Maximum urinary flow rate, Haemorrhage
Cite Article:
"A Prospective Cross Sectional Study of Benign Prostatic Hyperplasia and Its Surgical Management at Tertiary Care Centre In Rural Maharashtra", International Journal of Science & Engineering Development Research (www.ijrti.org), ISSN:2455-2631, Vol.9, Issue 1, page no.1 - 5, January-2024, Available :http://www.ijrti.org/papers/IJRTI2401001.pdf
Downloads:
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ISSN:
2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator