Abstract
BENIGN PROSTATIC HYPERPLASIA: CLINICAL PROFILE AND COMPARATIVE STUDY OF TRANSURETHRAL RESECTION OF PROSTATE WITH FREYER’S OPEN PROSTATECTOMY IN A RURAL SETUP IN CENTRAL INDIA

Jharia K., Bharati P.* and R. Narang

ABSTRACT

Objectives: To study the clinical profile of patients suffering from benign prostatic hyperplasia (BPH) in a rural set-up. To study the procedural differences between Freyer's open prostatectomy and transurethral resection of prostate. To study, the morbidity patterns and complications occurring in open prostatectomy vs trans-urethral resection. Methodology: Randomized prospective cross sectional study in which 100 patients of Benign prostatic hyperplasia, satisfying the selection criteria (inclusion and exclusion criteria) were randomly divided into two groups, using envelope method, of which 50 patients were operated by “ Transurethral resection of Prostate” (Group A) and 50 patients were operated by “Modified Freyer’s Supra-pubic Trans-vesical Prostatectomy” (Group B) Results: The mean operative time in transurethral resection of prostate group was 72.31 ± 2.16 minutes, while in open group it was 47.50 ± 3.74 minutes .The difference was found statistically significant with a p value < 0.001. The mean weight of the resected tissue in transurethral resection of prostate group was 9.87 ± 2.91 grams, while mean weight of enucleated tissue in open group was 39.82 ± 3.24 grams. The difference was again found statistically significant with a p value <0.001. Urinary tract infection was found in 7 patients (7%) of which, 2 patients (4%) were of transurethral resection of prostate group and 5 patients (10%) belonged to the open surgery group. Retention of urine on removal of catheter postoperatively was found in 9 patients (9%) of which, 7 patients (14%) were of transurethral resection of prostate group whereas 2 patients (4%) were from open group. Conclusion: The study was concluded as follows: Transurethral resection of prostate (TURP) has proved superior to open Freyer’s prostatectomy even in rural circumstances in terms of early ambulation of patient, shorter convalescence and thus, shorter hospital stay and early return to routine activities, indirectly in terms of expenditure and financial burden to the patient.

Keywords: Benign prostatic hyperplasia (B.P.H.), Freyer's Prostatectomy.


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