Role of turp in underactive detrusor following long standing boo due to bph- prospective, descriptive and analytical study

Author: 
Govindarajan Ramanujam., Periasamy Ponnusamy and Palani Narayanan

Aims and Objectives: The purpose of this study is to prospectively evaluate efficacy and safety of TURP in underactive bladder following longstanding bladder outlet obstruction due to BPH. The goal of this study is to evaluate the post-TURP satisfaction in patients with lower urinary tract syndrome with detrusor hypocontractality.
Study Centre: Department of Urology, Kilpauk Medical College Hospital and Government Royapettah hospital, Kilpauk, Chennai.
Methodology: This is a prospective study of underactive detrusor following long standing BOO due to BPH. The patients charecteristics are to be studied with respect to IPS score, PVR, need of catheterisation in preop and post op period. UDS is to be done in preop period using parameters like maximum voiding detrusor pressure.
Post intervention – parameters like IPSS improvement, PVR and need of catheterisation or CIC in post op period are to be analysed.
Conclusion: TURP should be considered a viable treatment option in men with enlarged prostate with underactive detrusor who had poor response to medical treatment. Preoperative counseling and postoperative follow-up are crucial in the management of such patients.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2018.11680.2028
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