A Comparative Study of Post Turp Outcomes and Complications between Benign Prostatic Hyperplasia Patients, Presenting with and without Acute Urinary Retention

Abstract

Introduction: Benign Prostate Hyperplasia, BPH most common in elderly people are most   common causes of lower urinary tract symptoms. Failure to recognize these symptoms                     leads to progression of disease process that may ultimately lead to Acute urinary retention.                     An analysis of post TURP complications between patients presenting with and without AUR was done. And found that early intervention helped in preventing better recovery of patients with minimal acceptable complications than in those who had acute urinary retention and this study provides an educational insight to patients about the need of early intervention in patients presenting with LUTS Aim and Objective of the Study: To compare the post TURP outcome and complications of Benign Prostatic Hyperplasia patients presenting with and without Acute Urinary Retention. Materials and Methods: This is a prospective study. Patients with LUTS secondary to Benign Prostatic Hyperplasia and who presented with and without Acute Urinary Retention were included in the study. Patients were analyzed with detailed History & Physical examination, Digital Rectal Examination, S.PSA, USG KUB, Bladder Wall Thickness Uroflow & Post Void Residual urine. Patients who were more than 75 years, men with neurological disease, prostate cancer, urethral stricture, previous prostate or urethral surgery were excluded. Post operative variables which were evaluated are Post op UTI, sepsis, Re-catheterisation rate , resurgery, onset of TUR syndrome, persistent hematuria requiring blood transfusion, post op stricture, LUTS, Q max, PVR and length of hospital stay, were compared between the two groups Results: The study finding includes significant distribution in age distribution in patients presenting with and without acute urinary retention with patient in acute urinary retention being of advanced age and since they presented late they tend to have higher prostate volume with an associated increase in S.PSA and when these patients when undertaken for surgery tend to have increased post operative incidence of UTI and need for recatheterisation rate thereby causing prolonged hospital stay. Incidence of TUR syndrome Hematuria and need for blood transfusion were comparable between two groups. Conclusion: Thus this study act as educational insight to patients stressing on the need for early intervention in BPH as incidence of age and associated complications like Post operative UTI and an increased need for Recatheterisation and prolonged hospital stay.