Transurethral incision versus tranurethral resection of prostate for small sized benign prostatic hyperplasia | [Medical Channel: Journal of Modern Dental and Medical Sciences • 2011]

Author(s):

1. Nazimuddin Jat: Isra University, Karachi Campus, Malir Karachi, Pakistan

2. Abdul Qayyum Ghauri: Department of ENT, Combined Military Hospital, Jhelum Cantt

3. Pir Bakhsh Khokhar: Isra University, Karachi Campus, Malir Karachi, Pakistan

4. Muhammad Asif Qureshi: Department Paediatric Surgery, Mayo Hospital, Lahore, Pakistan

5. Muhammad Ahmad Azmi: Isra University, Karachi Campus, Malir Karachi, Pakistan

Abstract:

Objective: The aim of the study was to investigate the TransurethralIncision of prostate (TUIP) and Transurethral resection of prostate (TURP) in small sized benign prostatic hyperplasia regarding their outcome and complications. Study Design: Retrospective comparative study. Place and duration of study: This study was conducted at Shaukat Omar Memorial (SOM) Fauji Foundation Hospital Karachi from October 1997 to December 2009. Methodology: A total of 167 cases were included in this study. Patients were divide in two groups. Group A included 80 cases who were operated by TUIP and group B included 87cases who were operated by TURP (n=167). Patients with large prostate i.e. weight > 35 g, neurogenic bladder and urethral strictures were excluded from the study. In TUIP two (02) incisions at 5 and 7 O’clock position with Colling’s knife were made and TURPs done with standard procedure. All cases were performed under spinal or epidural anaesthesia. Patients were followed till 6 months. Results: Mean operative time was 30.8 min for TUIP and 47.3 min for TURP. The improvement in peak flow rate was significant post operatively in both groups (p0.05) Conclusion: The study suggests that both TUIP and TURP showed almost equal maximum flow rate improvement but as compared to TURP, TUIP proved to be much superior in retrograde ejaculation, so it should be considered as the treatment of choice in relatively young sexually active patients.

Page(s): 18-20

DOI: DOI not available

Published: Journal: Medical Channel: Journal of Modern Dental and Medical Sciences, Volume: 17, Issue: 3, Year: 2011

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