A COMPARATIVE STUDY ON THE OUTCOMES OF VARIOUS MODALITIES OF SURGICAL MANAGEMENT OF BENIGN PROSTATIC HYPERPLASIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 90
Abstract
BACKGROUND Benign prostatic hyperplasia is one of the most common ailments affecting elderly men. The lower urinary tract symptoms caused by it are distressing and cause significant morbidity. Most symptoms are manifested as derangement in urination due to the close anatomical relation between the bladder and the prostate. The present study was undertaken to study the surgical management of benign prostatic hyperplasia with emphasis on transurethral resection of prostate, transurethral vapourisation and open prostatectomy. MATERIALS AND METHODS The study was a prospective hospital-based time-bound observational study conducted between December 2013 and May 2015 at a Medical College Hospital. RESULTS The maximum incidence of the disease was in the age group of 61 - 70 years. The next commonest mode of presentation was acute retention of urine followed by a weak stream. The average operating time for open prostatectomy was significantly higher. Urinary incontinence following minimally invasive procedures like TURP and TUVP was more common than following open prostatectomy. The average improvement in the symptoms of the patients who underwent TURP and TUVP for BPH at 3 months are similar and less when compared to open prostatectomy. CONCLUSION TURP is the gold standard in the management of benign prostatic hyperplasia with earlier recovery and lesser postoperative complications.
Authors and Affiliations
Ravikumar R. Jadhav, Priyadarshini C. A, Aswathy Chandran
Keywords
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- EP ID EP278243
- DOI 10.14260/jemds/2017/1387
- Views 90
- Downloads 0
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