Endoscopic Surgery from Single Urologic Centre: One Year Experience in Cystoscopy and Monopolar Transurethral Resection of the Prostate

Background: Prostate research interest has long arisen due to its hormone dependence, remarkable secretions and potential for neoplasia. This study evaluated monopolar transurethral resection of the prostate done for benign prostate enlargement at a private urologic centre in Port Harcourt. Materials and Methods: A prospective observational (descriptive) study was carried out among patients who had cystoscopy and monopolar transurethral resection (TURP) of the prostate for benign prostate enlargement at the study centre from January 2024 to December 2024. The data obtained was entered into excel spreadsheet and formed into tables and graph. Results: Eighty-seven transurethral resections of the prostate were carried out. The ages of patients ranged from 50-93 years, and the mean was 72.6 years. The mean duration of surgery was 57.34 minutes, and ranged from 50 and 79 minutes for 49 (56.3%) patients. The mean prostate weight was 80.02 grams, with a broad range of 40 to 159 grams. The weight of resected specimen ranged from 20 to 123 grams, and the mean was 53.4 grams. The mean duration of hospital stay was 3.22 days, and had a range of 2 to 4 days in 95.4% of the patients. There was a complication-free rate of 94.3% (n = 82), urinary incontinence in 2.3% (n =2), and clot retention in 1.1% (n = 1). Conclusion: The mean weight of resected specimen was almost twice the size of an average normal adult prostate. The procedure was completed in less than an hour in most patients, and they were discharged with 2-4 days without complications.