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

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.