Trans Urethral Resection of Prostate for Symptomatic BPH in Rural Area
Introduction: Benign Prostatic Hyperplasia (BPH) is quite a common disease in the older male with increasing incidence with age. Many patients require surgical treatment and presently TURP(Trans Urethral Resection of Prostate) is considered the gold standard in surgical management of bladder ou...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2016-01-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/articles/PDF/2093/4-%2012247_F(GH)_PF1(Vsu_Om)_PFA_(Om)_PF2(PAG).pdf |
| _version_ | 1819003261319905280 |
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| author | Amit Kumar Devendra Kumar Shiwach |
| author_facet | Amit Kumar Devendra Kumar Shiwach |
| author_sort | Amit Kumar |
| collection | DOAJ |
| description | Introduction: Benign Prostatic Hyperplasia (BPH) is
quite a common disease in the older male with increasing
incidence with age. Many patients require surgical
treatment and presently TURP(Trans Urethral Resection
of Prostate) is considered the gold standard in surgical
management of bladder outlet obstruction but is still not
routinely available in most resource poor areas.
Aim: To observe and assess the outcome of TURP being
done in our institution hospital which is situated in rural
area and catering mainly to the surrounding region.
Materials and Methods: The records of patients who
presented to the surgical OPD with LUTS and were
assessed to undergo TURP for prostatic hyperplasia. We
present our experience with series of 47 patients and posit
that TURP can be used for most patients presenting with
BPH in peripheral areas.
Results: In the study period 47 TURP procedures were
performed for BPH. The mean age of the cohort was 67.9
years;( ranging from 56 to 84 years). The mean prostatic
volume was 44.06 grams (range 32 to 76 grams) and mean
operating time was 48 minutes (range 29 to 85 minutes).
Blood transfusion was required in 3 patients (6.3%). No
patients required open intervention and there were no
mortalities. The common complications were bleeding
(12%), UTI and clot retention.
Conclusion: TURP is not available to majority of
rural population having symptomatic benign prostatic
hyperplasia (BPH) due to lack of facility but remains the
treatment of choice provided trained surgeons and facilities
are there. The overall cost of TURP is marginally higher for
an average rural patient as compared to open surgery but
is worthwhile in view of its inherent minimal trauma, short
hospital stay and early recovery and huge cost advantage
over newer therapies like HoLEP or PVP |
| first_indexed | 2024-12-20T23:18:11Z |
| format | Article |
| id | doaj.art-d5cd4afc30f8497ebf1dea6ba7f0de46 |
| institution | Directory Open Access Journal |
| issn | 2277-8543 2455-6874 |
| language | English |
| last_indexed | 2024-12-20T23:18:11Z |
| publishDate | 2016-01-01 |
| publisher | JCDR Research and Publications Pvt. Ltd. |
| record_format | Article |
| series | International Journal of Anatomy Radiology and Surgery |
| spelling | doaj.art-d5cd4afc30f8497ebf1dea6ba7f0de462022-12-21T19:23:35ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742016-01-0151161910.7860/IJARS/2016/12247:2093Trans Urethral Resection of Prostate for Symptomatic BPH in Rural AreaAmit Kumar0Devendra Kumar Shiwach1Assistant Professor, Department of Surgery, Rama Medical College Hospital and Research Centre, Hapur, India.Assistant Professor, Department of Surgery, Rama Medical College Hospital and Research Centre, Hapur, India.Introduction: Benign Prostatic Hyperplasia (BPH) is quite a common disease in the older male with increasing incidence with age. Many patients require surgical treatment and presently TURP(Trans Urethral Resection of Prostate) is considered the gold standard in surgical management of bladder outlet obstruction but is still not routinely available in most resource poor areas. Aim: To observe and assess the outcome of TURP being done in our institution hospital which is situated in rural area and catering mainly to the surrounding region. Materials and Methods: The records of patients who presented to the surgical OPD with LUTS and were assessed to undergo TURP for prostatic hyperplasia. We present our experience with series of 47 patients and posit that TURP can be used for most patients presenting with BPH in peripheral areas. Results: In the study period 47 TURP procedures were performed for BPH. The mean age of the cohort was 67.9 years;( ranging from 56 to 84 years). The mean prostatic volume was 44.06 grams (range 32 to 76 grams) and mean operating time was 48 minutes (range 29 to 85 minutes). Blood transfusion was required in 3 patients (6.3%). No patients required open intervention and there were no mortalities. The common complications were bleeding (12%), UTI and clot retention. Conclusion: TURP is not available to majority of rural population having symptomatic benign prostatic hyperplasia (BPH) due to lack of facility but remains the treatment of choice provided trained surgeons and facilities are there. The overall cost of TURP is marginally higher for an average rural patient as compared to open surgery but is worthwhile in view of its inherent minimal trauma, short hospital stay and early recovery and huge cost advantage over newer therapies like HoLEP or PVPhttp://www.ijars.net/articles/PDF/2093/4-%2012247_F(GH)_PF1(Vsu_Om)_PFA_(Om)_PF2(PAG).pdfopen prostatectomyrural surgeryturp safety |
| spellingShingle | Amit Kumar Devendra Kumar Shiwach Trans Urethral Resection of Prostate for Symptomatic BPH in Rural Area International Journal of Anatomy Radiology and Surgery open prostatectomy rural surgery turp safety |
| title | Trans Urethral Resection of Prostate for Symptomatic BPH in Rural Area |
| title_full | Trans Urethral Resection of Prostate for Symptomatic BPH in Rural Area |
| title_fullStr | Trans Urethral Resection of Prostate for Symptomatic BPH in Rural Area |
| title_full_unstemmed | Trans Urethral Resection of Prostate for Symptomatic BPH in Rural Area |
| title_short | Trans Urethral Resection of Prostate for Symptomatic BPH in Rural Area |
| title_sort | trans urethral resection of prostate for symptomatic bph in rural area |
| topic | open prostatectomy rural surgery turp safety |
| url | http://www.ijars.net/articles/PDF/2093/4-%2012247_F(GH)_PF1(Vsu_Om)_PFA_(Om)_PF2(PAG).pdf |
| work_keys_str_mv | AT amitkumar transurethralresectionofprostateforsymptomaticbphinruralarea AT devendrakumarshiwach transurethralresectionofprostateforsymptomaticbphinruralarea |