Failure to pass urine following transurethral resection of the prostate (TURP): Does the patient's mode of presentation determine the outcome of TURP?

Yousef Ali, Elijah O. Kehinde, Akram H. Mahmoud, Mohammed Al-Sahsah, Ehab El-Barky

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To elucidate possible predictive factors for failure to pass urine following transurethral resection of the prostate (TURP) in patients subjected to TURP for lower urinary tract symptoms (LUTS) secondary to benign prostatic hypertrophy (BPH) Design: Prospective study Setting: Urology Unit, Department of Surgery, Mubarak Hospital, Kuwait Subjects: Three hundred and fifteen consecutive patients who presented with LUTS secondary to BPH and underwent TURP were included in the study Intervention: TURP Main Outcome Measure: Ability to void after TURP Results: Out of 315 patients, 26 (8.3%) failed to void after TURP. The mean age of patients was 67 (range 57 - 92) years. The causes of failure to void after the catheter removal were: hypotonic bladder (10 / 26, 38%), persistent infra-vesical obstruction (9 / 26, 35%), diabetic neuropathy (4 / 26, 15%), end stage renal failure neuropathy (1 / 26, 4%) and old age (2 / 26, 8%). 21 / 26 (80.7%) patients who failed to void presented with acute on chronic or chronic urinary retention. Conclusion: The etiology of failure to void post-TURP is multi-factorial but is more common in patients presenting with acute on chronic or chronic urinary retention secondary to hypotonic bladder, diabetic neuropathy and occasionally very old age. Careful pre-operative patient selection and counseling is required in patients with chronic urinary retention about to undergo TURP to minimize the frustrations associated with the management of patients failing to void post-TURP.

Original languageEnglish
Pages (from-to)277-281
Number of pages5
JournalKuwait Medical Journal
Volume42
Issue number4
Publication statusPublished - Dec 1 2010

Keywords

  • BPH
  • Complication
  • Failure to void
  • TURP

ASJC Scopus subject areas

  • Medicine(all)

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