Comparison of The Urinary Flow Rate Improvement After Transurethral Incision and Transurethral Resection of Prostate for Small Sized Symptomatic Benign Enlargement

Abstract

Objective: To compare the mean improvement in urinary flow rate after transurethral resection of prostate (TURP) and transurethral incision of prostate (TUIP) for small sized symptomatic benign prostatic enlargement (SBE). Study design: Randomized controlled trial. Duration of study: January 2016 to December 2017. Setting: Department of Urology Institute of Kidney Diseases Hayatabad Peshawar. Methodology: A total of 216 patients presenting to our OPD having lower urinary tract symptoms due to benign prostatic enlargement were included in the study. Their medical history, physical and digital rectal examination were performed. Urine analysis, urine C/S, Blood Complete, Serum Creatinine Prostate Specific Antigen, Uroflowmetry and Ultrasound were performed. All patients were randomized into two groups; Group A (TURP) and Grouped B (TUIP). Results: Our study shows that in Group A (TURP) mean age was 57 years with standard deviation ± 3.78 while in Group B (TUIP) mean age was 60 years with standard deviation ± 3.13. The status of uroflowmetry (post-operative) among two groups was analyzed as in Group A (TURP) 5(5%) patients had uroflowmetry <15 ml while 103(95%) patients had uroflowmetry >15 ml. Mean uroflowmetry was 17 ml with standard deviation ± 3.64. Where as in Group B (TUIP) 9(8%) patients had uroflowmetry <15 ml while 99(92%) patients had uroflowmetry >15 ml. Mean uroflowmetry was 16 ml with standard deviation ± 3.55. Mean urinary flow rate was compared between TURP and TUIP in which showed that there is no significant difference between the two surgical procedures in term of urinary flow rate. Conclusion: Our study concludes that there was no significant difference between TURP and TUIP in term of mean urinary flow rate for small sized symptomatic benign prostatic enlargement.