A Comparative Study of Trans Urethral Resection Versus Trans Urethral Incision for Small Size Obstructing Prostate. | [Journal of Surgery Pakistan • 2012]

Author(s):

1. Abdul Jabbar Pirzada: Department of Urology, Peoples University of Medical & Health Sciences for Women, Shaheed Benazir Abad (Nawabshah) Sindh, Pakistan

2. Masood Ahmed Qureshi: Department of Urology, Peoples University of Medical & Health Sciences for Women, Shaheed Benazir Abad (Nawabshah) Sindh, Pakistan

3. Maqsood Ahmed Siddiqui: Department of Urology, Peoples University of Medical & Health Sciences for Women, Shaheed Benazir Abad (Nawabshah) Sindh, Pakistan

4. Aijaz Ahmed Awan: Department of Urology, Peoples University of Medical & Health Sciences for Women, Shaheed Benazir Abad (Nawabshah) Sindh, Pakistan

5. Rafique Ahmed Sahito: Department of Urology, Peoples University of Medical & Health Sciences for Women, Shaheed Benazir Abad (Nawabshah) Sindh, Pakistan

Abstract:

Objective: To compare the results of transurethral resection of prostate (TURP) with transurethral incision of prostate (TUIP) for small size obstructing prostate. Study design: Comparative study. Place & Duration of study: Department of Urology, Peoples University of Medical and Health Sciences for women Hospital Nawabshah, from 2008 to 2010. Methodology: Patients were divided in TURP and TUIP groups with fifty patients in each. Patients of any age with small size (thirty grams or less) prostate needing surgical intervention were included. TURP was done with conventional technique. In TUIP two deep incisions were made at 5 and 7’O clock positions of the bladder neck using Collings knife. Pre-per and postoperative variables were observed and recorded. All patients were followed up to six months post operatively. Results: A total of 100 patients were included in the study. Mean operative time was 12.4 minutes in TUIP and 22.6 minutes in TURP. Retrograde ejaculation and blood transfusions were less in TUIP than TURP. The improvement in maximum flow rate improved in both the groups. Conclusion: TUIP is as effective as TURP in achieving maximum flow rate but TUIP was superior in terms of shorter operative time, less retrograde ejaculation and less need of blood transfusion.

Page(s): 93-97

DOI: DOI not available

Published: Journal: Journal of Surgery Pakistan, Volume: 17, Issue: 3, Year: 2012

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