A descriptive study of post-operative complications of transurethral resection of prostate

https://doi.org/10.53730/ijhs.v6nS8.9717

Authors

  • Harsh A. Patel Assistant Professor, Department of General Surgery, Dr N. D. Desai Faculty of Medical Science & Research Gujarat, India
  • Alpesh J. Parmar Associate Professor, Department of General Surgery, Dr N. D. Desai Faculty of Medical Science & Research Gujarat, India
  • Amitkumar H. Joshi Assistant Professor, Department of General Surgery, Dr N. D. Desai Faculty of Medical Science & Research Gujarat, India
  • Aakash A. Agrawal Senior Resident, Department of General Surgery, Dr N. D. Desai Faculty of Medical Science & Research Gujarat, India
  • Shireesh M. Ninama Assistant Professor, Department of General Surgery, Dr N. D. Desai Faculty of Medical Science & Research Gujarat, India

Keywords:

prostate, benign prostatic hyperplasia, transurethral resection prostate, post-operative, complications, investigations

Abstract

Introduction: Because of the introduction of improved technology like diathermy and visual scopes, Transurethral resection of prostate (TURP) has become a comparatively safer treatment in recent years. However, there is a danger of developing TURP syndrome and electrolyte imbalance, particularly in individuals with high-risk cardiac disease. Aim: This study was performed for the identification of course, duration, and occurrence of complications in post-operative patients with TURP. Materials and Methods: A descriptive study comprising 52 patients was conducted at C.U. Shah Medical College and Hospital, Surendranagar, Gujarat, India from 8th February 2019 to 1st November 2020, covering 20 months. Results: The study focused on the distribution of patients as per age and post-op complications, co-morbid conditions, DRE grading, etc. Also, the study correlates the volume of the prostate with post-operative complications, prostate volume with S-PSA, etc. Furthermore, the study focused on early complications after TURP as well as late post-operative complications after TURP. Conclusion: This descriptive observational study highlighted several postoperative complications after TURP. It was observed that the incidence of complication rate is increasing with an increasing volume of the prostate. 

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References

Dabhoiwala N, Osawa D, Lim AT, Abrams P. The ICS-‘BPH’Study: uroflowmetry, lower urinary tract symptoms and bladder outlet obstruction. Br J Urol. 1998;82:619-23.

Bøtker‐Rasmussen I, Bagi P, Jørgensen JB. Is bladder outlet obstruction normal in elderly men without lower urinary tract symptoms?. Neurourol Urodyn. 1999;18(6):545-51.

Hutchison A, Farmer R, Chapple C, Berges R, Pientka L, Teillac P, Borkowski A, Dobronski P. Characteristics of patients presenting with LUTS/BPH in six European countries. Eur Urol. 2006;50(3):555-62.

McConnell JD, Barry MJ, Bruskewitz RC. Benign prostatic hyperplasia: diagnosis and treatment. Agency for Health Care Policy and Research. Clinical practice guideline. Quick reference guide for clinicians. 1994;8:1-7.

Tan AH, Gilling PJ, Kennett KM, Frampton C, Westenberg AM, Fraundorfer MR. A randomized trial comparing holmium laser enucleation of the prostate with transurethral resection of the prostate for the treatment of bladder outlet obstruction secondary to benign prostatic hyperplasia in large glands (40 to 200 grams). J Urol. 2003;170(4):1270-4.

Westenberg A, Gilling P, Kennett K, Frampton C, Fraundorfer M. Holmium laser resection of the prostate versus transurethral resection of the prostate: results of a randomized trial with 4-year minimum long-term followup. J Urol. 2004;172(2):616-9.

Emberton M, Anson K. Acute urinary retention in men: an age old problem. BMJ. 1999;318(7188):921-5.

Choong S, Emberton M. Acute urinary retention. BJU Int. 2000;85(2):186-201.

Murray K, Massey A, Feneley RC. Acute urinary retention--a urodynamic assessment. Brit J Urol. 1984;56(5):468-73.

Armitage JN, Sibanda N, Cathcart PJ, Emberton M, van der Meulen JH. Mortality in men admitted to hospital with acute urinary retention: database analysis. BMJ. 2007;335(7631):1199-202.

Mebust WK, Holtgrewe HL, Cockett AT, Peters PC, Writing Committee. Transurethral prostatectomy: immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3,885 patients. J Urol. 2002;167(2):999-1003.

Pickard R, Emberton M, Neal DE. The management of men with acute urinary retention. National Prostatectomy Audit Steering Group. Brit J Urol. 1998;81(5):712-20.

Loh SY, Chin CM. A demographic profile of patients undergoing transurethral resection of the prostate for benign prostate hyperplasia and presenting in acute urinary retention. BJU Int. 2002;89(6):531-3.

Malone PR, Cook A, Edmonson R, Gill MW, Shearer RJ. Prostatectomy: patients' perception and long‐term follow‐up. Brit J Urol. 1988;61(3):234-8.

Chen JS, Chang CH, Yang WH, Kao YH. Acute urinary retention increases the risk of complications after transurethral resection of the prostate: a population‐based study. BJU Int. 2012;110(11c):E896-901.

Khan S, Rehman S, Zaidi K, Qamar SS, Sajjad K, Ullah I, Nazir M. A Comparative Study on Outcome of Holmium Laser Enucleation of Prostate and Transurethral Resection of Prostate in Prostatic Hyperplasia. Ann King Edw Med Univ. 2020;26(3):1-5.

Jacobsen SJ, Jacobson DJ, Girman CJ, Roberts RO, Rhodes T, Guess HA, Lieber MM. Treatment for benign prostatic hyperplasia among community dwelling men: the Olmsted County study of urinary symptoms and health status. J Urol. 1999;162(4):1301-6.

Meigs JB, Mohr B, Barry MJ, Collins MM, McKinlay JB. Risk factors for clinical benign prostatic hyperplasia in a community-based population of healthy aging men. J Clin Epidemiol. 2001;54(9):935-44.

Sønksen J, Barber NJ, Speakman MJ, Berges R, Wetterauer U, Greene D, Sievert KD, Chapple CR, Montorsi F, Patterson JM, Fahrenkrug L. Prospective, randomized, multinational study of prostatic urethral lift versus transurethral resection of the prostate: 12-month results from the BPH6 study. Eur Urol. 2015;68(4):643-52.

Mebust WK, Valk WL. Transurethral prostatectomy. Benign Prostatic Hypertrophy. 1983:829-46.

Rassweiler J, Teber D, Kuntz R, Hofmann R. Complications of transurethral resection of the prostate (TURP)—incidence, management, and prevention. Eur Urol. 2006;50(5):969-80.

Doll H, Black NA, McPherson K, Flood AB, Williams GB, Smith JC. Mortality, morbidity and complications following transurethral resection of the prostate for benign prostatic hypertrophy. J Urol. 1992;147(6):1566-73.

Borboroglu PG, Kane CJ, Ward JF, Roberts JL, Sands JP. Immediate and postoperative complications of transurethral prostatectomy in the 1990s. J Urol. 1999;162(4):1307-10.

Haupt G, Pannek J, Benkert S, Heinrich C, Schulze H, Senge T. Transurethral resection of the prostate with microprocessor controlled electrosurgical unit. J Urol. 1997;158(2):497-501.

Nyandra, M., Suryasa, W. (2018). Holistic approach to help sexual dysfunction. Eurasian Journal of Analytical Chemistry, 13(3), pp. 207–212.

Rakhmonov, O. M., Shadmanov, A. K., & Juraev, F. M. (2021). Results of endoscopic treatment of benign prostatic hyperplasia in patients with metabolic syndrome. International Journal of Health & Medical Sciences, 5(1), 21-25. https://doi.org/10.21744/ijhms.v5n1.1811

Published

25-06-2022

How to Cite

Patel, H. A., Parmar, A. J., Joshi, A. H., Agrawal, A. A., & Ninama, S. M. (2022). A descriptive study of post-operative complications of transurethral resection of prostate. International Journal of Health Sciences, 6(S8), 317–326. https://doi.org/10.53730/ijhs.v6nS8.9717

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Peer Review Articles