Results of Transurethral Incision of the Prostate Gland in Early Benign Prostatic Hyperplasia
Keywords:
BPH, TUIP, IPSS, Q-max, QoLAbstract
Objective: The purpose of the present study is to report the results of treatment for symptomatic patients with early benign prostate hyperplasia (BPH) using transurethral incision of the prostate gland (TUIP), who had previously received medical treatment.
Methods: Patients with ages from 50 to 70 years who had early BPH with lower urinary tract symptoms (LUTS) and had received alpha 1 blocker and, or 5-alpha-reductase inhibitor during the years 2018 to 2020 were included in the study. After receiving information regarding surgical treatment (TUIP) instead of using only medications, 30 patients were willing to change from receiving medications to submitting to surgical treatment. The results of treatment before and after surgery were compared. Collected data included measurements of lower urinary tract symptoms using International Prostatic Symptoms Score (IPSS), the maximum flow rate of the urine (Q-max) and the quality of life (QoL) scores.
Results: There were 28 patients in the study. The mean IPSS scores obtained 3 months, 6 months, and 12 months after surgery were significantly lower than those before the surgery with p-values < 0.001 for all comparisons. The mean Q-max values obtained 3 months, 6 months, and 12 months after the surgery were significantly higher than those before the surgery. The mean QoL scores obtained 3 months after the surgery were significantly better than those before surgery.
Conclusion: TUIP in the treatment of early BPH with lower urinary tract symptoms in the early stages was associated with good outcomes and should be considered as an option for these patients.
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