engleski

Transurethral Incision of the Prostate: An Objective and Subjective Evaluation of Efficacy during Nine-Year Follow-Up

Longterm efficacy of transurethral incision of the prostate (TUIP) was evaluated in selected patients. A total of 50 patients with symptoms of bladder outlet obstruction caused by smaller benign prostates (estimated weight 30 g or less) were assigned to TUIP. Bilateral incision at 5 and 7 o’clock position was performed in all patients. Preoperative and postoperative evaluation included total urinary symptom score (I-PSS), uroflowmetry, patient overall assessment of surgery outcome, and sexual function questionnaire. The mean follow-up time was 66 months (6 to 108 months). Improvements in the mean urinary peak flow rates were observed in all cases. Postoperative total as well as irritation and obstructive symptom scores decreased significantly. All of 28 patients who had been sexually active before surgery retained their sexual activity after surgery, and only one (3.6%) of these had retrograde ejaculation. In comparison to other studies, where patients with bladder outlet obstruction caused by small prostate underwent classic transurethral resection of prostate (TURP), TUIP appeared to be faster, technically easier, and associated with lower morbidity. The results of this study clearly demonstrated TUIP to be an effective treatment for bladder outlet obstruction caused by small prostates in all patients, especially younger men, those with normal sexual activity, and patients at high operative risk. The method showed comparably good longterm outcome as TURP, but with less complications.

prostate - surgery ; prostatectomy - methods ; follow up studies

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