Outcomes of Trans Urethral Resection of the Prostate in Bening Prostatic Hyperplasia in patients presented with and without Acute urinary Retention: A Comparative Analysis

Salih, El-Sayed Mohamed El-Sayed; ALGammal, Mohamed Ibrahim ALMetwally; Hassan, Mahmoud Zakria Ali

doi:https://doi.org/10.21608/aimj.2025.446462

Outcomes of Trans Urethral Resection of the Prostate in Bening Prostatic Hyperplasia in patients presented with and without Acute urinary Retention: A Comparative Analysis

Document Type : Original Article

Authors

¹ Professor of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt;

² Lecturer of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt;

³ MBBCh., Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

https://doi.org/10.21608/aimj.2025.446462

Abstract

Abstract

Background: Among men in their twilight years, benign prostatic hyperplasia (BPH) ranks high among urological conditions. With or without bladder outlet obstruction (BOO), BPH is still a leading cause of lower urinary tract symptoms in men.
Aim and objectives: Specifically, we want to see how patients with BPH who experience acute urine retention (AUR) fare after transurethral resection of the prostate (TURP) as compared to those who do not.
Patients and methods: This retrospective study examines the results of TURP for men with BPH, treated between 2019 and 2024 at hospitals affiliated with Al-Azhar University. The included participants were divided into two groups: group A with AUR and group B, which included those participants without. Important clinical outcomes were evaluated, including the duration of hospital stay, pre- and post-TURP uroflowmetry data, post-void residual urine (PVR), and international prostate symptom score (IPSS).
Results: In comparison to individuals without AUR, those who presented with AUR had a considerably lengthier hospital stay and more blood loss. Nonetheless, IPSS score and quality of life improved significantly after surgery for both groups. The AUR group did have a somewhat higher frequency of postoperative complications, but these differences did not reach statistical significance.
Conclusion: TURP is equally effective for BPH patients with and without AUR, providing symptomatic relief, functional recovery, and improved QoL in both groups. However, the presence of AUR introduces additional challenges, such as longer hospital stays and slightly higher rates of complications.

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