Observational study evaluates TURP effects on LUTS in patients with BPH, suggesting significant surgery benefits.
Background: Benign prostatic hyperplasia (BPH) is a common cause of lower urinary tract symptoms (LUTS) in elderly men. The International Prostate Symptom Score (IPSS) is a validated tool for assessing severity and monitoring treatment outcomes. This study evaluates preoperative symptoms and postoperative outcomes in patients undergoing transurethral resection of prostate (TURP) using IPSS. Methods: A prospective observational study was conducted at a tertiary care center on 44 patients aged >50 years with BPH and LUTS. All patients were assessed preoperatively and postoperatively using IPSS, uroflowmetry, operative details, hospital stay, and complications. Results: Majority of patients were in the 70–79 years age group (48%). Mean preoperative IPSS was 27.8, which improved significantly to 9.7 at 12 weeks postoperatively (p<0.001). Uroflowmetry showed marked improvement in maximum flow rate (Qmax). Hospital stay and catheterization were within acceptable limits. Postoperative complications were minimal, with clot retention in few cases and no mortality. Conclusion: TURP significantly improves LUTS and quality of life in patients with BPH as assessed by IPSS. IPSS is a reliable tool for preoperative assessment and postoperative follow-up in TURPpatients.
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Joshi et al. (2025) studied this question.
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