Integrated assessment of clinical parameters for transurethral resection of the prostate

Ha, Dal Bong; Park, Choal Hee; Lee, Sung Choon

Abstract

We reviewed 90 patients of benign prostatic hyperplasia(BPH) to make a integrated assessment of the various clinical parameters that most urologist use to decide when to perform a transurethral resection of the prostate(TURP). Such parameters included symptom score by Madsen & Iversen scoring sheet prostate size by digital rectal examination or transrectal ultrasonography, maximum flow rate by unflowmetry and anatomical obstruction on prostatic urethra by cystoscopy, As compared with each parameter, maximum flow rate and prostate size correlated with anatomical obstruction on prostatic urethra(p<0.05). In symptom score, prostate size and maximum flow rate, however, any correlation could not be found before TURP(p>0.05). Postoperative symptom score was less than that in preoperation. Postoperative maximum flow rate was improved(p<0.05). In summary. uroflowmetry is the most noninvasive and significant parameter of determining the indication of TURP in symptomatic BPH patients and estimating the postoperative follow-up of urinary outlet obstruction. Transrectal ultrasonography may be helpful to choosing the operative method and symptom score may be helpful to evaluating the results after TURP.