Evaluation of the outcomes of TURP using Uroflowmetry data and IPSS in older patients with low prostate volume

Öz

Background/Aims: We aimed to evaluate the efficacy and safety of transurethral resection of prostate (TURP) without urodynamic testing in elderly patients with prostate volume less than 35 cc. Methods: A cohort of 116 patients over 70 years of age with a prostate volume less than 35 cc who underwent TURP were included in the study. International prostate symptom score (IPSS) and maximum flow rate (Qmax) measured by uroflowmetry were evaluated one month before the procedure and compared with the values at three and six months after the procedure. After exclusion of 24 patients with urethral stricture during TURP, the data set of 92 patients was subjected to further analysis. Results: The significant p value was p<0.05. The mean age of the patients was 74.4±4.2 years and the mean prostate volume was 31.4±3 cc. Qmax increased from 17.9 ± 4.3 ml/sec in the third postoperative month to 18.8 ± 4.6 ml/sec in the sixth month (p<0.001). IPSS decreased in the third and sixth postoperative months (15.9 ± 3 and 14.1 ± 3.2, respectively). Conclusions: A total of four (3.5%) patients had minor complications, all of which were managed conservatively. TURP is a safe and effective treatment option for elderly patients with low prostate volume without the need for urodynamic testing. We observed significant improvements in Qmax, PVR and IPSS scores.

Anahtar Kelimeler

• BPH
• IPSS
• Prostate
• TURP
• Uroflovmetry

Düşük prostat hacmi olan yaşlı hastalarda Üroflowmetri verileri ve IPSS kullanılarak TURP sonuçlarının değerlendirilmesi

Öz

Amaç: Prostat hacmi 35 cc'nin altında olan yaşlı hastalarda ürodinamik test yapılmadan uygulanan Transüretral prostat rezeksiyonunun (TURP) etkinliğini ve güvenliğini değerlendirmeyi amaçladık. Gereç ve Yöntemler: 70 yaş üstü, prostat hacmi 35 cc'nin altında olan ve TURP uygulanan 116 hastadan oluşan bir kohort grubu araştırmaya dahil edildi. İşlemden bir ay önce değerlendirilen Uluslararası prostat semptom skoru (IPSS) ve üroflowmetride ölçülen maksimum akış hızı (Qmax), işlem sonrası üç ve altı aylardaki değerlerle karşılaştırıldı. TURP sırasında üretral darlığı saptanan 24 hastanın çıkarılmasının ardından elde edilen 92 hastanın veri seti daha ileri analize tabi tutulmuştur. Bulgular: Anlamlı p değeri p<0.05 idi. Hastaların ortalama yaşı 74.4 ± 4.2 yıl ve ortalama prostat hacmi 31.4±3 cc olarak hesaplandı. Qmax değeri ameliyat sonrası üçüncü ayda 17.9 ± 4.3 ml/sn iken altıncı ayda 18.8 ± 4.6 ml/sn'ye yükseldi (p<0.001). IPSS ameliyattan sonraki üçüncü ve altıncı aylarda azaldı (sırasıyla 15.9 ± 3, 14.1 ± 3.2). Sonuç: Toplam dört (%3.5) hastada minör komplikasyon gözlendi ve bunların tümü konservatif yaklaşımla tedavi edildi. TURP, düşük prostat hacmine sahip yaşlı hastalar için ürodinamik teste ihtiyaç duymadan güvenli ve etkili bir tedavi seçeneğidir. Qmax, PVR ve IPSS skorlarında anlamlı iyileşmeler gözlemledik.

Anahtar Kelimeler

• BPH
• IPSS
• Prostat
• TURP
• Üroflovmetri

Kaynakça

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