TRANSURETHRAL RESECTION OF PROSTATE FOR BPH > 100 g

Ajay Anand

Volume : VI, Issue : VIII, August - 2016

TRANSURETHRAL RESECTION OF PROSTATE FOR BPH > 100 g

Ajay Anand

Abstract :

Purpose: To assess safety and effectiveness of TURP for the management of prostate > 100 grams. Material and Methods: Twelve patients with BPH > 100 grams as determined by abdominal ultrasonography were offered TURP between Feuary 2011 and Feuary 2016. International Prostate Symptom Score (IPSS), prostate volume, postvoid residue (PVR), and maximum flow rate (Qmax) formed part of preoperative evaluation. We also assessed intraoperative and postoperative parameters including operative time, irrigant fluid requirement, blood loss, duration of postoperative catheterization, hospital stay and postoperative complications. Results: The mean prostate volume was 109.34 grams (range 101–169 grams). The mean age was 61.70 years (range 53–81 years).9 patients had a catheter preoperatively. Mean IPSS score was 24.67(21–28). Mean Qmax and PVR were 06 ml/sec (4 – 12) and 139 ml (77 – 170) respectively. Mean operative time was 79 minutes (60 – 110) and mean irrigant fluid used was 26.78 litres (19 – 36).Mean resected weight of prostate was 69.4 grams (43 – 74). Average postoperative catheter duration was 2.31 days (2–2.5) with average postoperative hospital stay being 3.70 days (02 – 05). Effectiveness assessed at 6 months was IPSS 5.6, Qmax 20.7 ml/sec, insignificant PVR. Conclusions: TURP is an acceptable treatment modality for prostates > 100 gm. with no side effects in expert hands.