Spontaneous prostatic haematoma in a case of benign prostatic hyperplasia

A 61-year-old man presented with urinary retention with obstructive uropathy (urea/creatinine: 126/9.2 mg/dL) secondary to a large prostatic haematoma while being medically managed for benign enlargement of the prostate. The patient did not have any fever or local symptoms and the prostate was enlarged and non-tender on examination. Ultrasound and MRI of the pelvis showed a 9.4×10.4×11.1 cm sized prostatic haematoma seen displacing and compressing the urinary bladder anteriorly with bilateral hydroureteronephrosis. The patient was managed with per-urethral catheterisation, haemodialysis and injectable antibiotics. Percutaneous pigtail placement into the prostatic haematoma led to gradual drainage of the haematoma with improvement in the renal parameters. Definitive surgery in the form of transurethral resection of the prostate was done at a later date. Intraoperatively multiple encapsulated cavities containing organised clots were deroofed. On follow-up, the patient did well and had good urinary flow and normal renal parameters.

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Effects of Transurethral Resection of Prostate (TURP) on Quality of Life in Case of Benign Prostatic Hyperplasia

Journal of National Institute of Neurosciences Bangladesh ◽

10.3329/jninb.v5i2.43019 ◽

2019 ◽

Vol 5 (2) ◽

pp. 143-147

Author(s):

Md Abul Hossain ◽

Md Akter Alam ◽

Md Fazal Naser ◽

Md Shafiqul Azam

Keyword(s):

Quality Of Life ◽

Benign Prostatic Hyperplasia ◽

Flow Rate ◽

Transurethral Resection ◽

Prostatic Hyperplasia ◽

Urinary Flow Rate ◽

Transurethral Resection Of Prostate ◽

Urinary Flow

Background: BPH is one of the most common cause of LUTS which significantly impairs the quality of life. TURP is minimally invasive surgical procedure for Benign Prostatic hyperplasia which has impact on quality of life. Impact on quality of life can be measured by QoL score and effect of TURP can be evaluated. Objective: The purpose of the present study was to evaluate the impact of transurethral resection of prostate (TURP) on Quality of Life (QoL) score. Methodology: This prospective study was carried out in the Department of Urology, Shaheed Suhrawardy Medical College and Hospital, Dhaka, from July 2015 to June 2016. Total fifty patients between 50 to 72 years attending for the treatment of benign prostatic hypertrophy (BPH) with lower urinary tract symptoms (LUTS) were included for the study according to inclusion & exclusion criteria. All of them were evaluated with baseline international prostate symptoms score (IPSS), QoL score, peak urinary flow rate (Qmax), voided volume, voiding time and PVR and were recorded in a predesigned data sheet. Selected patients underwent Transurethral Resection of Prostate. They were followed after 1 month and 3 months with same parameter and compared with the baseline values. Results: The baseline international prostate symptoms score (IPSS) in this study was 25.18±1.45. At one month and three months follow up visits after TURP, the IPSS was decreased to 15.0±1.07 and 8.14±0.76 respectively. There was significant improvement of peak urinary flow rate (Qmax) in the postoperative period, at the 1st follow up visit after one month of TURP (15.78±1.42, p<0.001) and at the 2nd follow visit after three months of TURP (18.78, p <0.001). The mean QoL score was 5.30±0.46 before TURP. After one month of TURP it was 3.20±0.45 and after 3 months of TURP it was 1.86±0.57. Conclusion: There is a significant improvement of quality of after TURP. Journal of National Institute of Neurosciences Bangladesh, 2019;5(2): 143-147

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Urodynamic Impact of Acute Urinary Retention in Patients with Benign Prostatic Hyperplasia: A 2-Year Follow-Up after Transurethral Resection of the Prostate

Urologia Internationalis ◽

10.1159/000317308 ◽

2011 ◽

Vol 86 (1) ◽

pp. 73-79 ◽

Cited By ~ 4

Author(s):

Florian M.E. Wagenlehner ◽

Knut Bescherer ◽

Christine Wagenlehner ◽

Michael Zellner ◽

Wolfgang Weidner ◽

...

Keyword(s):

Benign Prostatic Hyperplasia ◽

Urinary Retention ◽

Transurethral Resection ◽

Acute Urinary Retention ◽

Prostatic Hyperplasia

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Long-Term Followup after Electrocautery Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia

Advances in Urology ◽

10.1155/2011/359478 ◽

2011 ◽

Vol 2011 ◽

pp. 1-6 ◽

Cited By ~ 7

Author(s):

F. Kallenberg ◽

T. A. Hossack ◽

H. H. Woo

Keyword(s):

Benign Prostatic Hyperplasia ◽

Transurethral Resection ◽

Prostatic Hyperplasia ◽

Urinary Flow ◽

Complication Rates ◽

Urethral Strictures ◽

Voiding Symptoms ◽

Stricture Rate ◽

Historic Data

Introduction. For decades, transurethral resection of the prostate (TURP) has been the “gold standard” operation for benign prostatic hyperplasia (BPH) but is based mainly on historic data. The historic data lacks use of validated measures and current TURP differs significantly from that performed 30 years ago.Methods. Men who had undergone TURP between 2001 and 2005 were reviewed. International prostate symptom score (IPSS), quality of life (QOL) and peak urinary flow rate (Qmax⁡), and postvoid residual (PVR) were recorded. Operative details and postoperative complications were documented. Patients were then invited to attend for repeat assessment.Results. 91 patients participated. Mean follow-up time was 70 months. Mean follow-up results were IPSS—7; QoL—1.5;Qmax⁡—23 mL/s; PVR—45 mL. These were an improvement from baseline of 67%, 63%, 187%, and 80%, respectively. Early complication rates were low, with no blood transfusions, TUR syndrome, or deaths occurring. Urethral stricture rate was higher than anticipated at 14%.Conclusion. This study shows modern TURP still produces durable improvement in voiding symptoms which remains comparable with historic studies. This study, however, found a marked drop in early complications but, conversely, a higher than expected incidence of urethral strictures.

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