ANALYSIS OF MODE OF PRESENTATION AND POST-OPERATIVE OUTCOME IN BENIGN PROSTATIC HYPERPLASIA

Introduction: Benign Prostatic Hyperplasia (BPH) and its related signs and symptoms are extremely common among elderly men, suggesting it to be a natural concomitant of aging. Objectives: The main objective of the study is to analyse the mode of presentation and post-operative outcome in benign prostatic hyperplasia. Material and methods: This descriptive study was conducted in Rashid Latif Medical College during March 2019 November 2019. In addition to mode of presentation of BPH, age of the patients, weight of resected prostatic tissues and results after trial without catheter (TWOC) were recorded. Four modes of presentation of BPH were defined: lower urinary tract symptoms (LUTS), acute retention, chronic retention and acute on chronic retention. Results: The data was collected from 345 patients. All patients who presented with LUTS had severe lower urinary tract symptoms (I-PSS >20). Patients who presented with urinary retention had acute retention 129 (37.4%), chronic retention 81 (23.5%) and acute on chronic retention 60 (17.4%). One patient, who initially presented with acute retention, underwent revision TURP at 10th day of the initial TURP procedure. In this patient the initial procedure was terminated incompletely because of perforation of prostatic capsule and opening of large venous sinuses early in the procedure. Conclusion: It is concluded that BPH patients in our region present very late, most of them (>78%) with complication of urinary retention. Mode of presentation of BPH greatly influences the postoperative outcome of this disease