Arif Pervez, Sultan Tareen.
Benign prostatic obstruction successfully treated by transurethral resection.
Pak J Med Res Jan ;45(4):101-5.

Aims: To evaluate the results of transurethral resection of prostate (TURP) in patients having benign prostatic obstruction (BPO). Methods: Five hundred patients were operated in 7 years using 5% dextrose in water and 26 French Storz resectoscope. All patients were followed for early and late complications up to 12 months. Results: Significant symptomatic improvement was observed in majority of the cases with a morbidity of 15 %. None of the patient experienced significant hematuria or TURP syndrome. Mean operative time was 45.0 minutes with a mean interval to catheter removal of 26 hours. Twenty patients (4 %) developed post-operative retention due to residual clots. Re-TURP was performed in 10 patients for residual prostatic tissue. Histology revealed neoplastic changes in 15 patients (3%). Secondary hemorrhage and erectile dysfunction were seen in 20 cases each (4%) while 10 cases each (2%),had epididymo-orchitis and retrograde ejaculation,5 cases had stricture urethra. Conclusion: TUR (P) is an effective procedure for benign prostatic hypertrophy which has minimum morbidity and low mortality. It has replaced open prostatectomy in majority of cases.

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