Functional outcome and complications of palliative transurethral resection of prostate (pTURP): 5years single centre (Eastern India) experience

Krishnendu Maiti; Kunal Kapoor; Dilip Kumar Pal

doi:10.18203/2349-2902.isj20185472

Authors

Krishnendu Maiti Department of Urology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India
Kunal Kapoor Department of Urology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India
Dilip Kumar Pal Department of Urology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2349-2902.isj20185472

Keywords:

Complication, Outcome, Prostate cancer, Palliative surgery, Transurethral resection of prostate

Abstract

Background: Notable number of prostatic carcinoma patients presented with bladder outlet obstruction. Among various treatment options like antiandrogen therapy, catheterisation, laser therapy, prostatic stent and pTURP, pTURP offers expeditious relief of symptoms. As, there is paucity of literature regarding outcome and complication of pTURP in Indian context. So, author did single centre indication (of surgery) matched retrospective case control study to know functional outcomes and morbidity of pTURP in eastern Indian population.

Methods: Author did retrospective review of 29 patients who underwent pTURP during study period (January 2013 to January 2018) after exclusion. Same number of TURP (for benign disease) patients were selected. Functional outcome and complications of pTURP were compared with TURP group. Author also tried to find factors associated with un-favourable outcomes.

Results: Despite of older pTURP group patients, operative duration, post-operative hospital stay, post-operative catheter duration and post-op maximum urinary flow rate, were statistically similar to TURP group. However, statistically similar but clinically more complication was noted in pTURP arm in terms of failed voiding trial, incontinence and re-operation rate. One capsular tear was noted only in TURP arm. Eight patients developed unfavourable outcome (1 persistent incontinence, 5 needed re-surgery and 2 required re-catheterisation in follow up period). Higher PSA, longer operative time and hormone refractory metastatic prostatic carcinoma were found to be associated with unfavourable outcome.

Conclusions: pTURP is safe and effective procedure to relieve bladder outlet obstruction. Hormone refractory status, higher PSA and prolonged operative time may be risk factors of poor outcome.

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