Vol. 6, Issue 1, Part A (2024)

Transurethral resection of the prostate (TURP) is considered standard surgical therapy for benign enlargement of prostate (BEP). Transabdominal ultrasound measurement of intravesical prostatic protrusion (IPP) is a noninvasive method of assessing the severity of symptoms in patients with bladder outlet obstruction (BOO) due to prostatic enlargement. To evaluate the outcome of transurethral resection of prostate in a patient with benign enlargement of prostate with intravesical prostatic protrusion. This quasi-experimental study was conducted from January, 2021 to December, 2021 in department of urology, Dhaka Medical College Hospital, Dhaka. A total of seventy-eight patients (age 50-70 years) admitted for TURP due to BEP with IPP were purposively selected for the study. Patients were divided into two groups according to their IPP grade: group-I includes IPP of ≥ 5mm (significant group) and group-II includes IPP of ˂ 5mm (non- Significant group). Lower Urinary Tract Symptoms (LUTS) severity were scored by the International Prostate Symptom Score (IPSS). Postoperatively, changes in IPSS, IPSS-v, IPSS-s, Quality of life (QoL) score, maximum urinary flow rate (Q max), and post void residual (PVR) at one month and three months after the operations were recorded in a predesigned data collection sheet. The mean ages of the patients were 61.9±4.5 and 61.5±5.6 years in group I and group II respectively. Preoperatively, there was significant statistical difference between the groups regarding IPSS, IPSS-v, IPSS-s, QoL score (p< 0.001), Q max (p = 0.008), and PVR (p = 0.026). After three months of operation (TURP), mean score of the IPSS, IPSS-v, IPSS-s, Qol and PVR were significantly lower and mean score of Q max was significantly higher in group I compared to that of group II (p< 0.05). The mean changes in IPSS, IPSS-v, IPSS-s, Qol, Q max and PVR were also significantly greater in group I compared to group II (p< 0.05). In this study, patients with IPP ≥ 5 mm experienced greater symptom improvement following TURP compared with patients with IPP < 5 mm.