Total transurethral resection versus minimal transurethral resection of the prostate — a 10‐year follow‐up study of urinary symptoms, uroflowmetry and residual volume
- 1 September 1994
- journal article
- clinical trial
- Published by Wiley in British Journal of Urology
- Vol. 74 (3), 333-336
- https://doi.org/10.1111/j.1464-410x.1994.tb16622.x
Abstract
To assess the long-term results of total transurethral resection (T-TURP) and minimal transurethral resection of the prostate (M-TURP) in patients with obstructive symptoms caused by benign prostatic hyperplasia. Between September 1979 and September 1980, 167 patients were studied: 83 were randomized to T-TURP and 84 to M-TURP. The patients were examined pre-operatively and 6 and 12 months post-operatively. Ten years post-operatively they were invited to attend for further examination, including uroflowmetry, determination of residual volume and evaluation of subjective symptoms. At the 10-year follow-up 39 patients were found to have died and 47 were lost to follow-up. Twelve patients had undergone repeat TURP and seven had been treated for urethral stricture. Thus 33 T-TURP and 29 M-TURP patients underwent detailed examination. Significant relief in obstructive and irritative symptoms was seen in both groups. The improvement in maximum flow rate remained stable throughout the follow-up period, with no significant differences between the two groups. Post-void residual urine decreased throughout follow-up, with minor differences between the groups. M-TURP is recommended as an alternative to T-TURP.Keywords
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