Evaluation of the outcomes of TURP using Uroflowmetry data and IPSS in older patients with low prostate volume

Authors : Kürşad Dönmez, Serkan Özcan, Enis Mert Yorulmaz, Sacit Nuri Görgel, Osman Köse, Yiğit Akın

Pages : 203-207

Doi:10.16899/jcm.1737891

View : 106 | Download : 84

Publication Date : 2025-09-30

Article Type : Research Paper

Abstract :Background/Aims: We aimed to evaluate the efficacy and safety of transurethral resection of prostate (TURP) without urodynamic testing in elderly patients with prostate volume less than 35 cc. Methods: A cohort of 116 patients over 70 years of age with a prostate volume less than 35 cc who underwent TURP were included in the study. International prostate symptom score (IPSS) and maximum flow rate (Qmax) measured by uroflowmetry were evaluated one month before the procedure and compared with the values at three and six months after the procedure. After exclusion of 24 patients with urethral stricture during TURP, the data set of 92 patients was subjected to further analysis. Results: The significant p value was p<0.05. The mean age of the patients was 74.4±4.2 years and the mean prostate volume was 31.4±3 cc. Qmax increased from 17.9 ± 4.3 ml/sec in the third postoperative month to 18.8 ± 4.6 ml/sec in the sixth month (p<0.001). IPSS decreased in the third and sixth postoperative months (15.9 ± 3 and 14.1 ± 3.2, respectively). Conclusions: A total of four (3.5%) patients had minor complications, all of which were managed conservatively. TURP is a safe and effective treatment option for elderly patients with low prostate volume without the need for urodynamic testing. We observed significant improvements in Qmax, PVR and IPSS scores.
Keywords : BPH, IPSS, Prostat, TURP, Üroflovmetri

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