Comparative Evaluation of Post-TURP Complications in Patients with BPH Presenting with and Without Acute Urinary Retention

Background Benign prostatic hyperplasia (BPH) is a prevalent urological condition affecting men at an older age. Acute urinary retention (AUR) is a severe symptom of men who develop BPH. TURP is the gold standard as the management of BPH is concerned. Our study tried to compare the post-TURP complic...

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Autores principales:	Veda Murthy Reddy Pogula, Ershad Hussain Galeti, Ifrah Ahmad, Bhargava Reddy Kanchi
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	acute urinary retention benign prostatic hyperplasia lower urinary tract symptoms postvoid residual Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/552f0ec66be648b0a2f7395e8479024e
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spelling	oai:doaj.org-article:552f0ec66be648b0a2f7395e8479024e2021-11-10T23:54:34ZComparative Evaluation of Post-TURP Complications in Patients with BPH Presenting with and Without Acute Urinary Retention2455-74202455-094910.1055/s-0041-1736446https://doaj.org/article/552f0ec66be648b0a2f7395e8479024e2021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736446https://doaj.org/toc/2455-7420https://doaj.org/toc/2455-0949Background Benign prostatic hyperplasia (BPH) is a prevalent urological condition affecting men at an older age. Acute urinary retention (AUR) is a severe symptom of men who develop BPH. TURP is the gold standard as the management of BPH is concerned. Our study tried to compare the post-TURP complications between patients presented with and without AUR. Materials and Methods We enrolled 126 patients, out of which 74 were in the AUR group and 52 in the non-AUR group. The mean age of patients with AUR was 62.51 years, and that for patients without AUR was 61.06 years. Statistical significance was noted in our study in patients with AUR and without AUR regarding the prostate's grading by DRE, the volume of gland, PSA level, post-TURP UTI, recatheterization post TURP, length of hospital stays with p-values 0.000, 0.000, 0.006, 0.004, 0.007, and 0.000, respectively. Statistical significance was not noted in patients with AUR and without AUR with regard to the grading of hypertension, diabetes mellitus, ischemic heart disease, post-op TURP syndrome, post-TURP hematuria, patients needing a blood transfusion, post-TURP sepsis, LUTS, post-TURP stricture, resurgery for clot retention with p values of 0.918, 1.000, 1.000, 1.000, 0.523, 0.642, 1.000, 0.319, 1.000, and 1.000, respectively. Conclusion Our study shows that post-TURP complications such as hematuria, blood transfusion rate, post-op UTI, sepsis, recatheterization, lower urinary tract stricture, resurgery, TUR syndrome, and the length of hospital stay were higher in patients who presented with AUR than in those without AUR. Post-TURP UTI complications, recatheterization rate, and the length of hospital stay were statistically significant in the AUR group compared with the non-AUR group. Therefore, it is better to intervene earlier before the patients develop AUR to minimize the complications and maximize the outcomes.Veda Murthy Reddy PogulaErshad Hussain GaletiIfrah AhmadBhargava Reddy KanchiThieme Medical and Scientific Publishers Pvt. Ltd.articleacute urinary retentionbenign prostatic hyperplasialower urinary tract symptomspostvoid residualOrthopedic surgeryRD701-811ENInternational Journal of Recent Surgical and Medical Sciences (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute urinary retention benign prostatic hyperplasia lower urinary tract symptoms postvoid residual Orthopedic surgery RD701-811
spellingShingle	acute urinary retention benign prostatic hyperplasia lower urinary tract symptoms postvoid residual Orthopedic surgery RD701-811 Veda Murthy Reddy Pogula Ershad Hussain Galeti Ifrah Ahmad Bhargava Reddy Kanchi Comparative Evaluation of Post-TURP Complications in Patients with BPH Presenting with and Without Acute Urinary Retention
description	Background Benign prostatic hyperplasia (BPH) is a prevalent urological condition affecting men at an older age. Acute urinary retention (AUR) is a severe symptom of men who develop BPH. TURP is the gold standard as the management of BPH is concerned. Our study tried to compare the post-TURP complications between patients presented with and without AUR. Materials and Methods We enrolled 126 patients, out of which 74 were in the AUR group and 52 in the non-AUR group. The mean age of patients with AUR was 62.51 years, and that for patients without AUR was 61.06 years. Statistical significance was noted in our study in patients with AUR and without AUR regarding the prostate's grading by DRE, the volume of gland, PSA level, post-TURP UTI, recatheterization post TURP, length of hospital stays with p-values 0.000, 0.000, 0.006, 0.004, 0.007, and 0.000, respectively. Statistical significance was not noted in patients with AUR and without AUR with regard to the grading of hypertension, diabetes mellitus, ischemic heart disease, post-op TURP syndrome, post-TURP hematuria, patients needing a blood transfusion, post-TURP sepsis, LUTS, post-TURP stricture, resurgery for clot retention with p values of 0.918, 1.000, 1.000, 1.000, 0.523, 0.642, 1.000, 0.319, 1.000, and 1.000, respectively. Conclusion Our study shows that post-TURP complications such as hematuria, blood transfusion rate, post-op UTI, sepsis, recatheterization, lower urinary tract stricture, resurgery, TUR syndrome, and the length of hospital stay were higher in patients who presented with AUR than in those without AUR. Post-TURP UTI complications, recatheterization rate, and the length of hospital stay were statistically significant in the AUR group compared with the non-AUR group. Therefore, it is better to intervene earlier before the patients develop AUR to minimize the complications and maximize the outcomes.
format	article
author	Veda Murthy Reddy Pogula Ershad Hussain Galeti Ifrah Ahmad Bhargava Reddy Kanchi
author_facet	Veda Murthy Reddy Pogula Ershad Hussain Galeti Ifrah Ahmad Bhargava Reddy Kanchi
author_sort	Veda Murthy Reddy Pogula
title	Comparative Evaluation of Post-TURP Complications in Patients with BPH Presenting with and Without Acute Urinary Retention
title_short	Comparative Evaluation of Post-TURP Complications in Patients with BPH Presenting with and Without Acute Urinary Retention
title_full	Comparative Evaluation of Post-TURP Complications in Patients with BPH Presenting with and Without Acute Urinary Retention
title_fullStr	Comparative Evaluation of Post-TURP Complications in Patients with BPH Presenting with and Without Acute Urinary Retention
title_full_unstemmed	Comparative Evaluation of Post-TURP Complications in Patients with BPH Presenting with and Without Acute Urinary Retention
title_sort	comparative evaluation of post-turp complications in patients with bph presenting with and without acute urinary retention
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/552f0ec66be648b0a2f7395e8479024e
work_keys_str_mv	AT vedamurthyreddypogula comparativeevaluationofpostturpcomplicationsinpatientswithbphpresentingwithandwithoutacuteurinaryretention AT ershadhussaingaleti comparativeevaluationofpostturpcomplicationsinpatientswithbphpresentingwithandwithoutacuteurinaryretention AT ifrahahmad comparativeevaluationofpostturpcomplicationsinpatientswithbphpresentingwithandwithoutacuteurinaryretention AT bhargavareddykanchi comparativeevaluationofpostturpcomplicationsinpatientswithbphpresentingwithandwithoutacuteurinaryretention
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Comparative Evaluation of Post-TURP Complications in Patients with BPH Presenting with and Without Acute Urinary Retention

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