Prostatic Hyperplasia Case Study

TRANSURETHRAL RESECTION OF THE PROSTATE: AN INITIAL EXPERIENCE IN A UNIVERSITY TEACHING HOSPITAL IN NORTHERN NIGERIA

Ahmed M, Lawal AT, Bello A, Maitama HY

Division of Urology, Department of Surgery, Ahmadu Bello University Teaching Hospital (ABUTH), Zaria, Nigeria.

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ABSTRACT

Background: Transurethral resection of the prostate (TURP) is the gold standard treatment for benign prostatic hyperplasia (BPH). Compared to open prostatectomy, TURP is associated with less morbidity. Despite this, limited availability and affordability are major drawbacks to its utility of TURP in our setting.

Objective: The objective of this paper is to share our initial experience with the use of TURP.

Methodology: The records of all patients

PATIENTS AND METHODS

The records of all patients who underwent transurethral resection over a period of 20 months (April, 2013 to November, 2014) were retrieved. Informed consent was routinely obtained from all the patients, before the procedure. Patients demographics, pre-operative and post-operative clinical and laboratory details, intra- and post-operative details, follow up and outcome were extracted.

Routine cystoscopy was done in in all patients, and TUR was carried out using 26 FG Karl Storz continuous flow sheaths with a 30 o. 3% Glycine set at a height of 1 metre above the patient’s heart was used for irrigation. A size 24F silicone urethral catheter was passed after the procedure and irrigation commenced.

The results were analyzed using descriptive statistics.

These obvious advantages notwithstanding, it remains largely unaffordable to the bulk of the poorer patients. These findings however, remain to be verified with a prospective, long term study involving a larger number of patients.

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