Effect of transurethral resection of prostate on Uroflowmetry parameters on patients having benign prostatic hyperplasia

Original Article

Abstract

Background:BPH develop in numerous older male patients and produces typical symptoms of LUTS which cause urgency alongside increased frequency and nocturia and initial voiding troubles. Transurethral resection of the prostate (TURP) stands as the accepted premier therapy for BPH which achieves two outcomes by unblocking the bladder outlet while enhancing urinary flow.

Objectives: to evaluated two uroflowmetry measurement variables with maximum flow rate (Qmax) and average flow rate (Qavg) and the International Prostate Symptom Score (IPSS) after TURP treatment of benign prostatic hyperplasia (BPH) patients.

Study Design: A Prospective Observational Study.

Place And Duration Of The Study: from January 2018 to June 2020 Department at urology POF Hospital Wah Cantt, Pakistan

Methods: 150 male patients with BPH who received TURP surgery at the Department of Urology in POF Hospital Wah Cantt Pakistan from January 2014 to June 2016. The uroflowmetry parameters Qmax, Qavg, and IPSS were tracked before surgery as well as after surgery in the patients undergoing TURP for BPH treatment. A statistical analysis with p-value calculation helped determine the importance of improvements in the collected data.

Results: 150 patients whose average age was 65 ± 8 years. The Qmax measurement increased from 8.5 ± 2.1 mL/s preoperatively to 18.6 ± 4.2 mL/s postoperatively with statistical significance (p < 0.01). Statistical analysis revealed significant postoperative improvement in Qavg measurements because they rose from 4.2 ± 1.5 mL/s to 10.3 ± 3.1 mL/s (p < 0.01). The IPSS score significantly declined from 22 ± 5 to 8 ± 3 through statistically significant means (p < 0.01). The subject group demonstrated better voiding performance after surgery because their mean voiding volume increased by thirty percent and voiding duration showed improvement.

Conclusion: The uroflowmetry metrics together with BPH patients' obstructive symptoms show noticeable improvement following TURP surgery. Hospital studies support TURP as an effective BPH treatment method which can be measured through uroflowmetry assessment to determine treatment success.

Keywords: TURP, BPH, Uroflowmetry, LUTS