Morbidity and early outcome of transurethral resection of prostate (TURP): A retrospective,single–institute study

Manikandan.M; Praveen N; Madhavan.N

Volume : VII, Issue : VI, June - 2017

Morbidity and early outcome of transurethral resection of prostate (TURP): A retrospective,single–institute study

Manikandan. M, Praveen N, Madhavan. N

Abstract :

Background: Transurethral resection of the prostate (TURP) is one of the most frequently performed surgery by the urologists. Most of the patients belong to the elderly population with significant co–morbidities like coronary artery disease, COPD, Diabetes mellitus, Hypertension etc, which accentuates the peri– and post–operative complications. TURP has undergone significant technical improvements during the last decades, with major impact on the incidence of intra and postoperative complications. Objectives: The objective of the study was to analyze co–morbidities of the patient population undergoing TURP, the peri–operative complications and early post–operative complications TURP in a single tertiary care institute. Materials and methods: We retrospectively evaluated 416 patients underwent transurethral resection of prostate in our institution from November 2014 to November 2016. Case records containing 32 variables on co–morbidities, operative details, peri–operative complications and early post operative complications were recorded for each patient. Results: The cumulative short–term postoperative significant morbidity was 17.5% .The most relevant postoperative complication was urinary tract infection (7.5%). Among significant postoperative morbidities, surgical revision had to be performed in for patients (2%) and transurethral resection (TUR) syndrome in 1.4%. We did not have any mortality related to the procedure during the study period. The resected tissue averaged 28.8gm. Incidental carcinoma of the prostate was diagnosed by histological examination in 3.14% of patients. Conclusions: TURP has been the standard surgical therapy for lower urinary tract symptoms secondary to benign prostatic hyperplasia for decades,though significant morbidities can be associated with the procedure. Meticulous preoperative workup and proper patient selection significantly improve the outcome.