Reply by the Authors

Abstract

We agree with Dr. Campodonico that the surgical plan and the surgeon's skill affect the completeness of a prostatic adenoma resection. Inexperienced urologists may leave too much prostatic tissue, which can lead to persistent obstruction after surgery. Therefore, prostatic obstruction due to an incomplete resection during transurethral resection of the prostrate (TURP) should be considered when evaluating a patient complaining about lower urinary tract symptoms (LUTS), even after surgical treatment for benign prostatic hyperplasia. However, all the surgeons who participated in our study had ≥15 years field experience, including ≥500 TURP cases; we think this excludes the problem of variation in surgeons' skill in the interpretation of our data. Re: Han et al.: Factors Associated With Continuing Medical Therapy After Transurethral Resection of Prostate (Urology 2014;84:675-680)UrologyVol. 85Issue 1PreviewI read, with real interest, the study by Han et al,1 on factors linked to recurrent lower urinary tract symptoms and symptoms of benign prostatic hyperplasia after transurethral resection of the prostate (TURP). In response, I would like to point out an issue related to the group of patients who continued medical therapy after TURP. The authors found that older patients with diabetes or cardiovascular disease and those on preoperative antimuscarinic therapy are at higher risk of persistent voiding or storage disorders after endoscopic resection of the prostate. Full-Text PDF