Impact of Transurethral Resection of The Prostate (TURP) On Urodynamic Parameters in a Developing Country

Introduction: Benign prostatic hyperplasia (BPH) causes bladder outlet obstruction (BOO) and lower urinary tract symptoms (LUTS), significantly impacting quality of life. Transurethral resection of the prostate (TURP) is the standard treatment, but its impact in Cameroon remains underexplored. Methods: A retrospective study analyzed the records of patients who underwent TURP between 2018 and 2023 in two referral hospitals in Douala. Statistical analysis compared pre- and post-TURP data using a paired t-test (p < 0.05). Results: TURP accounted for 33.19% of surgical interventions, with the majority performed at Douala General Hospital (62.96%). The mean patient age was 67.1 years. Postoperatively, the maximum urinary flow rate increased from 11.09 to 18.00 ml/s (p < 0.002), and 71.6% of patients had an IPSS score ≤7. The complication rate was low (2.46%), mainly moderate hemorrhages. Conclusion: TURP significantly improves urinary parameters and quality of life with minimal complications, reinforcing its role as the standard treatment.