Publication: Residual Storage Symptoms after Monopolar Transurethral Resection of Prostate for Benign Enlargement
Date
2025
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rapti Academy of Health Sciences (RAHS)
Abstract
Abstract:
Introduction: Benign enlargement of prostate is common urological disease of elderly and middle aged male. Transurethral resection of prostate is one of the common urological procedures performed in the hospital. Patients of benign prostatic enlargement may have voiding, storage and post micturitional symptoms and these symptoms impair the quality of life of patients. This study is designed to evaluate international prostate symptom score, storage symptoms (Frequency, Urgency, Nocturia) and quality of life score among the patients underwent monopolar TURP.
Method: The prospective observational study was conducted at authors institute from November 2022 to February 2024. The baseline IPSS score, storage and voiding subscore and quality of life score were calculated preoperatively. These variables along with incidence of storage subscore variables (frequency, urgency and nocturia) were calculated after 3 month of surgery during outpatient department visits or through phone calls and were analysed.
Results: Total number of seventy patients with mean age 66.14±9.79 years with prostate volume of 53.52 ± 13.18cc was enrolled in this study. The preoperative IPSS: 25.64±3.54, voiding subscore:15.99 ±2.94, storage subscore: 9.57±2.30 and Quality of life score: 5.06±0.70 decreased postoperatively to IPSS: 7.87 ± 3.75, voiding subscore: 3.31±2.35, storage subscore: 4.93 ±1.94 and quality of life Score: 2.27±1.14.Improvement in all of these parameters are statistically significant with p value< 0.001. Preoperatively 75.5%, 71.4%, 65.7%, and 82.9% patients had storage, frequency, urgency and nocturia symptoms respectively. However, postoperatively 15.7%, 14.3%, 12.9% and 52.9% patients had persistence of storage, frequency, urgency and nocturia symptoms respectively. Among all patients who had voiding symptoms preoperatively, 5.7% patients had residual voiding symptoms postoperatively.
Conclusion: This study showed significant improvement in IPSS, storage subscore, voiding subscore and quality of life score after TURP.
Description
Sushil Khaniya
Urology Unit, Rapti Academy of Health Sciences, Ghorahi, Dang, Nepal
Hem Nath Joshi
Urology Unit, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal
Keywords
benign prostatic enlargement, international prostate symptom score, quality of life score, voiding and storage subscore