UROFLOWMETRIC IMPROVEMENT IN RETROPUBIC PROSTATECTOMY VS TURP FOR PROSTATE WEIGHING 50-70 GRAMS

Dr Pankaj Mishra, Dr Binod Kumar, Dr Ajit Singh, Dr Shweta Kumari, Dr Md Habibullah Ansari

Abstract


OBJECTIVE: This is a comparative study analysing uroflowmetric improvement in patients undergoing retropubic prostatectomy with turp for
prostate size 50-70 grams
MATERIALS AND METHODS: From February 2018 to January 2019, 98 patients with prostate size 50-70 gms divided into two groups, Group
A undergoing retropubic prostatectomy and Group B undergoing TURP in Department of Urology, PMCH, Patna were studied. Patients were
assessed preoperatively with the Urinary flow rate measurements (Qmax and Qavg) as well as prostate volumes by transabdominal ultrasound.
Clinical outcome was evaluated by the difference in Qmax and Qavg before and 2 months after Surgery.
RESULTS: There was a significant improvement in Qmax and Qavg postoperatively. Improvement was better in the paitents undergoing
retropubic prostatectomy than TURP. Mean overall change D Qmax and D Qavg was 7.74 ml/sec and 6.74 ml/sec respectively in patients
undergoing TURP while Mean overall change D Qmax and D Qavg was 9.1 ml/sec and 8.48 ml/sec
CONCLUSION: Retro pubic prostatectomy had better improvements when compared to TURP.


Keywords


Uroflowmetry, Retropubic Prostatectomy, TURP, Prostate

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