Predictors of Anterior Urethral Stricture Following Transurethral Resection of Prostate (TURP) in Chaiyaphum Hospital

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Published: Dec 27, 2024
Keywords:
TURP Anterior urethral stricture Predictors

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Chettha Thanakhon
Surgery Department, Chaiyaphum Hospital, Chaiyaphum Province, Thailand, 36000

Abstract

Background: Anterior urethral stricture is the cause from transurethral resection of prostate (TURP)and leads to lower urinary tract obstruction. Prevention of risk factors can reduce anterior urethral stricture.
Objective: To study predictive factors associated anterior urethral stricture in post operative TURP in Chaiyaphum hospital.
Methods: The retrospective cohort study with 251 the reviewed medical records those patients more than 50 years old who had post TURP and between 1st January 2017 to 31th December 2023 and follow-up period 6 month who have LUTS signs, 236 case were group1(post TURP with nonanterior urethral stricture) and 15 case (post TURP with anterior urethral stricture). The general data were analyzed using descriptive statistics, prognostic factors were used univariate and multivariate analysis (p-value<0.05).
Results: There were 251 post TURP patients included to study. Group 1 mean age 68.7±4.5 years, mean IPSS 24.2±3.9, mean operation time 52.9±13.9 min, mean resection prostate volume 15.1±3.8 gms and re TURP 1.3%. Group 2 The 15 bulbar urethral stricture patients were received urethral dilatation treatment, mean age 69.8±6.7 years, mean IPSS 25.9±4.0, mean operation time 62.7±16.1 min, mean resection prostate volume 15.6±2.5 gms and re TURP 83.7%. Predictive factors associated urethral stricture were UTI (Adj OR 18.0; 95% CI, 2.3-138.2), operation time (Adj OR 1.1; 95% CI, 1.0-1.1), re TURP (Adj OR 0.0; 95% CI, 0.0-0.2) and Urine retention with re-catheter (Adj OR 0.0; 95% CI, 0.0-0.2).
Conclusion: The factors predicting include: UTI, operation time 46.6-78.8minutes, Re-TURP and retention with re-catheter. Therefore, you must have attention be careful about these factors and reduced risks for anterior urethral stricture.

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Thanakhon, C. (2024). Predictors of Anterior Urethral Stricture Following Transurethral Resection of Prostate (TURP) in Chaiyaphum Hospital . MEDICAL JOURNAL OF SISAKET SURIN BURIRAM HOSPITALS, 39(3), 719–729. retrieved from https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/269912
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Vol. 39 No. 3 (2024): September - December
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Original Articles
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