Outcomes After TURP

Objectives to Cover

• Introduction – Understand benign prostatic hyperplasia (BPH), lower urinary tract symptoms, and the role of transurethral resection of the prostate (TURP) in surgical management.
• Patient Characteristics – Evaluate age, comorbidities, prostate-related history, symptom duration, and relevant clinical characteristics.
• Preoperative Assessment – Assess urinary symptoms, International Prostate Symptom Score (IPSS), quality of life, urinary flow rate, post-void residual urine, and prostate characteristics.
• Indications for TURP – Review the clinical indications for surgery, including persistent symptoms, urinary retention, recurrent infections, hematuria, and inadequate response to medical therapy.
• Surgical Management – Review TURP technique, type of resection, operative duration, anesthesia, catheterisation, and perioperative management.
• Symptom Improvement – Evaluate changes in urinary symptoms and IPSS following TURP.
• Functional Outcomes – Assess improvement in urinary flow, post-void residual urine, voiding function, and quality of life.
• Postoperative Recovery – Evaluate catheter duration, hospital stay, return to normal urinary function, and overall recovery.
• Complications – Assess complications such as bleeding, urinary tract infection, clot retention, urinary incontinence, urethral stricture, bladder neck contracture, and other documented postoperative complications.
• Reoperation Rates – Determine the frequency and causes of repeat surgical intervention following TURP.
• Follow-Up – Review clinical and functional outcomes at scheduled postoperative follow-up visits.
• Retrospective Analysis – Analyse existing patient records to determine symptom improvement, functional outcomes, complications, and reoperation rates after TURP.
• Clinical Implications – Discuss the effectiveness of TURP, appropriate patient selection, perioperative management, and follow-up strategies.
• Conclusion – Summarise symptom improvement, functional recovery, complication rates, and reoperation outcomes following TURP.

Reference: IEEE.

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