Year : 2020 | Volume
: 10 | Issue : 2 | Page : 43--46
Transurethral resection of the prostate: An initial experience in a tertiary health institution
Ahmad Tijjani Lawal1, Muhammed Ahmed1, Muhammad Jami'u Isah2, Awaisu Mudi1, Sudi Abdullahi1, Nasir Oyelowo1, Musliu Adetola Tolani1, Hamza Babatunde Kolapo3, Ahmad Bello1, Hussaini Yusuf Maitama1
1 Department of Surgery, Division of Urology, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna, Nigeria
2 Department of Surgery, Federal Medical Centre, Katsina, Kaduna, Nigeria
3 Department of Surgery, Barau Dikko Teaching Hospital, Kaduna State University, Katsina, Kaduna, Nigeria
Background: Transurethral resection of the prostate (TURP), is the gold standard treatment for prostatic obstruction. TURP is associated with less morbidity. Despite this obvious edge, limited availability, access, and affordability are major drawbacks to the utility of this treatment modality in our setting. The purpose of this study is to examine our initial experience with TURP.
Patients and Methods: Patients undergoing TURP in our institution over a period of 20 months (April 2013–November 2014) were prospectively followed. Consecutive patients who hadprostatic obstruction and indication for TURP were included in this study. Patients with contra-indications to TURP were excluded from this study. Informed consent was routinely obtained preoperatively. Patients' demographics, pre-, intra- and post-operative clinical records, and outcome details were entered into pro formas. The results were analyzed using descriptive statistics.
Results: Fourteen men with a median age of 66.5 years (50–102) were included in this study. The mean prostate size was 56 g (32–91). They all had bothersome lower urinary tract symptoms (LUTS). Nine (64.3%) were in the middle socioeconomic class, whereas five (35.7%) were in the lower class. The mean duration of hospital stay was 4.3 days. Thirteen of the patients (92.9%) stayed for ≤7 days. One of the patients (7.1%) had a duration of hospital stay of nine days. Three patients (21.3%) had postoperative complications. The mean follow-up was 10 months. All had a satisfactory patient-reported subjective outcome at follow-up.
Conclusion: TURP was found to be effective, and associated with few peri-operative morbidities. These findings, however, remain to be verified with long-term studies involving a larger number of patients.
Dr. Ahmad Tijjani Lawal
Division of Urology, Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State
|How to cite this article:|
Lawal AT, Ahmed M, Isah MJ, Mudi A, Abdullahi S, Oyelowo N, Tolani MA, Kolapo HB, Bello A, Maitama HY. Transurethral resection of the prostate: An initial experience in a tertiary health institution.Arch Int Surg 2020;10:43-46
|How to cite this URL:|
Lawal AT, Ahmed M, Isah MJ, Mudi A, Abdullahi S, Oyelowo N, Tolani MA, Kolapo HB, Bello A, Maitama HY. Transurethral resection of the prostate: An initial experience in a tertiary health institution. Arch Int Surg [serial online] 2020 [cited 2021 Jun 16 ];10:43-46
Available from: https://www.archintsurg.org/article.asp?issn=2278-9596;year=2020;volume=10;issue=2;spage=43;epage=46;aulast=Lawal;type=0