MINIMAL TRANSURETHRAL RESECTION FOR SYMPTOMATIC BPH IN PATIENTS WITH CO-MORBID FACTORS
Keywords:
Transurethral resection, Minimal resection, Prostate, Beningn prostatic hyperplasiaAbstract
Objectives: To assess the long term results of minimal transurethral resection of Prostate (M-TURP) in patients with
Benign symptomatic Prostatic Hyperplasia (BPH) with co-morbid factors.
Material and Methods: This study was conducted at the Urology Department of Lady Reading Hospital, Peshawar
between March 2004 to April 2005 a total 62 patients uderwent M-TURP.The patients were examined pre-operatively
and six and 12 months post-operatively and then over a period of 5 years.
Results: At the end of 5 years follow up, 5(8.064%) patients were found to had died and another 8(12.90%) patients
were lost to follow up. Eight patients (12.90%) had undergone repeat TURP and 5(8.064%) patients had been treated
for urethral stricture. In 40 patients a significant relief in obstuctive and irritative symptoms were achieved. There was
an improvement in urinary stream and postvoid residual urine was significantly low also.
Conclusion: M-TURP may be recommended as an alternative to total TURP in patients with co-morbid factors who
are not fit for prolonged anaesthesia and surgical trauma.
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