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Sokhal AK, Sinha RJ, Purkait B, et al. Transurethral resection of prostate in benign prostatic enlargement with underactive bladder: A retrospective outcome analysis. Urol Ann. 2017;9(2):131-135doi: 10.4103/UA.UA_115_16.
Sokhal, A. K., Sinha, R. J., Purkait, B., & Singh, V. (2017). Transurethral resection of prostate in benign prostatic enlargement with underactive bladder: A retrospective outcome analysis. Urology annals, 9(2), 131-135. https://doi.org/10.4103/UA.UA_115_16
Sokhal, Ashok Kumar, et al. "Transurethral resection of prostate in benign prostatic enlargement with underactive bladder: A retrospective outcome analysis." Urology annals vol. 9,2 (2017): 131-135. doi: https://doi.org/10.4103/UA.UA_115_16
Sokhal AK, Sinha RJ, Purkait B, Singh V. Transurethral resection of prostate in benign prostatic enlargement with underactive bladder: A retrospective outcome analysis. Urol Ann. 2017 Apr-Jun;9(2):131-135. doi: 10.4103/UA.UA_115_16. PMID: 28479762; PMCID: PMC5405654.
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Urol Ann. 2017 Apr-Jun;9(2):131-135. doi: 10.4103/UA.UA_115_16.

Transurethral resection of prostate in benign prostatic enlargement with underactive bladder: A retrospective outcome analysis.

Urology annals

Ashok Kumar Sokhal, Rahul Janak Sinha, Bimalesh Purkait, Vishwajeet Singh

Affiliations

  1. Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

PMID: 28479762 PMCID: PMC5405654 DOI: 10.4103/UA.UA_115_16

Abstract

PURPOSE: The purpose of this study was to evaluate the clinical outcome and efficacy of transurethral resection of the prostate in patients of benign prostatic enlargement (BPE) with underactive bladder.

MATERIALS AND METHODS: Retrospective study of 174 patients, who underwent transurethral resection of prostate (TURP) between 2008 and 2015, for lower urinary tract symptoms with BPE with bladder underactivity. Clinical history, physical examination, renal function test, urinalysis, cystourethroscopy, transabdominal or transrectal ultrasonography, and urodynamic study were recorded. Patients having a history of neurologic conditions, spinal trauma or surgery, pelvic trauma or surgery, diabetes mellitus with end organ damage, urethral pathology or surgery, and prostatic cancer were excluded from the study.

RESULTS: The mean follow-up period was 22.4 ± 6.2 months. Mean prostate volume was 42.8 ± 6.4 ml and mean serum prostate-specific antigen was 2.3 ± 1.8 ng/ml. The International Prostate Symptom Score changed from 24.6 ± 4.2 preoperatively to 10.8 ± 5.8 postoperatively which was found statistically significant. Quality of life (QOL) score changed from 4.8 ± 1.2 to 2.6 ± 0.4. Twenty-two patients out of 174 remained on a per-urethral catheter or clean intermittent catheterization due to voiding failure after TURP beyond 1 month.

CONCLUSIONS: TURP should be considered a viable treatment option in men with enlarged prostate with underactive detrusor who had poor response to medical treatment. Preoperative counseling and postoperative follow-up are crucial in the management of such patients.

Keywords: Benign prostatic enlargement; quality of life; transurethral resection of prostate; underactive bladder; urodynamic study

Conflict of interest statement

There are no conflicts of interest.

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