Clinical Appraisal of TURP in Gezira Hospital for Renal Diseases and Surgery

Elssayed Osman Elssayed; Mustafa O Mansour; Mohamed Elimam

Authors

Elssayed Osman Elssayed
Mustafa O Mansour
Mohamed Elimam

Keywords:

turp, ghrds, bph

Abstract

Transurethral resection of the prostate(TURP) is the gold standard for the surgical treatment of benign prostatic hyperplasia(BPH)-related lower urinary tract symptoms (LUTS). Objective : The main goal is to evaluate patients selection the complications and the outcome following TURP in (Gezira hospital for renal diseases and surgery) GHRDS. Methodology : This study was a prospective, hospital based, small scale study conducted in the period between January 2012 to June 2013 in Gezira Hospital for Renal Diseases and Surgery. Ninety four patients underwent TURP for (benign prostatic hyperplasia) BPH were included in this study. The management was done according to the European association of urological surgeons (EAU) guideline for the indication of surgery, procedure and postoperative treatment.The data was collected in a form of data sheet (patient's records, direct interviews and a pre-designed questionnaire). Data coded and fed in computer to handle statistical and mathematical procedure, using SPSS 17(statistical package for social sciences). Result : One hundred and thirty two patients were enrolled, twenty one patients were excluded due tunneling TURP for Ca prostate and 17 had incomplete follow up or record. Mean age of (69.02) years, mean hospital stay (1.5) days, mean follow-up of (7.19) month and mean operation time was (39.9) minute. Fortunately no mortality stated with significant improvement in international prostate symptoms score ( IPSS) on the long term (87.2%) and minimal complication like perforation occur in 2 patients (2.1%), while 1 patient (1.1%) develop bleeding. Conclusion : The outcome of TURP in GHRDS is good with minimum intraoperative and postoperative complications.

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Clinical Appraisal of TURP in Gezira Hospital for Renal Diseases and Surgery. (2013). Global Journal of Medical Research, 13(17), 13-18. https://medicalresearchjournal.org/index.php/GJMR/article/view/

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Author Biography

Elssayed Osman Elssayed

Elssayed Osman Elssayed is a medical professional currently serving as a Registrar of General Surgery at Gezira Hospital for Renal Diseases and Surgery in Wad Medani, Gezira State, Sudan. He holds an M.B.B.S degree from the University of Gadarif and has affiliations with Gezira University and Shendi University. His published works include clinical studies on TURP and the chemical management of anal fissure, reflecting his focus on surgical and urological care. With 6 publications and 12 citations, his research has contributed to the field of general surgery. His h-index is 2.

References

Emil Tanagho, J. Ed (2008) neoplasm of prostate gland.

Nickel JC, Méndez-Probst CE, Whelan TF (2010) the Canadian Prostate Health Council and the CUA Guidelines Committee 2010 Update: Guidelines for the management of benign prostatic hyperplasia. 4, 310-6.

C. Roehrborn, J. McConnell, M. Barry (2010) Roehrborn CG, McConnell JD, Barry MJ, et al. AUA Guideline on the management of benign prostatic hyperplasia.

De J, Alivizatos G, Madersbacher S (2006) Guidelines on Benign Prostatic Hyperplasia.

Alivizatos Madersbacher S, Sanz Nordling J, Emberton M, de JJMCH (2004) EAU 2004 Guidelines on Assessment, Therapy and Follow-Up of Men with Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Obstruction (BPH Guidelines). 46, 547-554.

J. Wilson, G. Urwin, M. Stower (2004) The changing practice of transurethral prostatectomy: a comparison of cases performed in 1990 and 2000.thesis Ann R Coll Surg Engl. 86(6), 428-431.

Alan Wein, L. Andrew, C. Novick, Alan Partin, Craig Peters, Ed (2007) Minimally invasive and edoscopic management og beingn prostatic hyperplasia.

M. Agarwal, J. Palmer, G. Mufti (1993) Agarwal M, Palmer JH, Mufti GR, Transurethral resection for a large prostate--is it safe?. 72(3), 318-321.

Muzzonigro G, Milanese G, Minardi D, Yehia M, Galosi AB, Dellabella M (2004) Safety and efficacy of transurethral resection of prostate glands up to 150 ml: a prospective comparative study with 1 year of followup.thesis J Urol. 172(2), 611-615.

Yu X, Elliott SP, Wilt TJ (2008) Practice patterns in benign prostatic hyperplasia surgical therapy: the dramatic increase in minimally invasive technologies. 180, 241-5.

Norman Williams, C., P. RONAN O'CONNELL (2008) The prostate and seminal vesicles. 1354-1372.

Jens Rassweiler, Dogu Teber, Rainer Kuntz, Rainer Hofmann (2006) Complications of Transurethral Resection of the Prostate (TURP)-Incidence, Management, and Prevention. 50(5), 969-980. https://doi.org/10.1016/j.eururo.2005.12.042

Reich O, Gratzke C, Bachmann A (2008) Morbidity, mortality and early outcome of transurethral resection of the prostate: a prospective multicenter evaluation of 10,654 patients. 180, 246-9.

Ahyai SA, Gilling P, Kaplan SA (2010) Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic enlargement. 58, 384-97.

Hahn RG (2001) SMOKING INCREASES THE RISK OF LARGE SCALE FLUID ABSORPTION DURING TRANSURETHRAL PROSTATIC RESECTION. 166(1), 162-165.

Ilbey Tascı AI, Cicekler Tugcu V, Zoroglu Cevik C (2011) Transurethral Resection of the Prostate With Monopolar Resectoscope: Single-surgeon Experience and Long-term Results of After 3589 Procedures. 78(5), 1151-1155.

Pastore AL, Mariani S, Barrese F, Palleschi G, Valentini AM, Pacini L (2013) Transurethral resection of prostate and the role of pharmacological treatment with dutasteride in decreasing surgical blood loss.thesis J Endourol. 27(1), 68-70.

Donohue JF, Sharma H, Abraham R (2002) Transurethral prostate resection and bleeding: a randomised, placebo controlled trial of the role of finasteride for decreasing operative blood loss. 168(5), 2024-6.

Hoffmann R (2005) Transurethrale Resektion (TURP) und transurethrale Inzision (TUIP) der Prostata In: Hoffmann R, editor Endoskopische Urologie. 2005, 50-84.

Hartung R, May F (2002) Die transurethrale Elektroresektion der Prostata. 33, 469-82.

P. Faul (1993) Video TUR: Raising the Gold Standard. 24, 256-261.

F. Kallenberg, T. Hossack, H. Woo (2011) Long-term followup after electrocautery transurethral resection of the prostate for benign prostatic hyperplasia. 2011, 359478.

Jeng-Sheng Chen, Chia-Hsien Chang, Wen-Horng Yang, Yea-Huei Kao Acute urinary retention increases the risk of complications after transurethral resection of the prostate. E901.