Characteristics of Benign Prostatic Hyperplasia (BPH) Patients Undergoing Transurethral Resection of the Prostate (TURP)

Zen Ary Prasetyo,Taufiq Nur Budaya,Besut Daryanto

doi:10.21776/ub.jkb.2021.031.04.4

Abstract

Benign prostatic hyperplasia (BPH) is one of the most common diseases affecting the elderly, and Transurethral Resection of the Prostate (TURP) is a gold standard surgical procedure in BPH patients. Although the TURP rate is high, the publication of TURP profile data in Indonesia is still limited. This study aimed at determining the characteristics of BPH patients who underwent TURP at Saiful Anwar General Hospital. This study is a descriptive study by collecting data of 162 BPH patients who underwent TURP from January 2015 to August 2017. TURP is primarily performed in patients aged 61-70 years (39.5%). Recurrent urinary retention was the most common indication for the procedure (54.9%) followed by bladder stone (21%), pharmacological therapy failure (10.5%), inguinal hernia (8%), severe Lower Urinary Tract Symptoms (LUTS) (3.7%), and renal insufficiency (1.9%). As many as 58% of patients who underwent TURP had a prostate volume higher than 50 ml. Urinary retention is the most common complaint among BPH patients who underwent TURP, and recurrent urinary retention is the most common TURP indicator.Â

Highlights

Benign prostatic hyperplasia (BPH) is a histological diagnosis defined by the abnormal proliferation of smooth muscle and epithelial cells in prostate tissue [1]
The results showed that the age group of BPH patients undergoing TURP mostly was 61-70 years as many as 64 patients (39.5%), followed by the age group of 71-80 years as many as 51 patients (31.5%)
The results showed that most BPH patients who underwent TURP had a prostate volume of more than 50 milliliters (58%) with a mean prostate volume of 57.7±29.2 ml

Summary

Introduction

Benign prostatic hyperplasia (BPH) is a histological diagnosis defined by the abnormal proliferation of smooth muscle and epithelial cells in prostate tissue [1]. BPH is one of the most common diseases affecting the elderly, and its prevalence will increase with age. As of 2010, BPH affect over 210 million men worldwide. BPH is the second most common disease found in urology clinics in Indonesia after urinary tract stones. In 2013 in Indonesia there were 9.2 million cases of BPH, mostly dominated by men aged over 60 years [2]. It is reported that around 70% of men aged 61-70 years and 90% of those aged 81-90 years have pathological BPH [3,4,5]. Its clinical manifestation as Lower Urinary Tract Symptoms (LUTS) including frequency, urgency, nocturia, intermittency, decreased stream, and hesitancy reduces the patient's quality of life [6,7]

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