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Abstract

Objective: To establish the current usage and results of transurethral resectionof prostate in patients of benign prostatic obstruction (BPO) who presented with severe irritative and obstructiveprostatic symptoms. Setting: Saleem Medical Complex Hospital Quetta. Period: From April 1997 to December 2004Patients & Methods: Transurethral resections for BPO were performed with 5% dextrose water in 500 consecutivepatients. All these patients were followed for early and late complications and followed up to 6 months after TURP.Results: Significant symptomatic improvement has been observed with minimal morbidity (14 %). None of the patienthad significant hematuria and TURP syndrome. Mean operative time was 45.0 minutes. Mean interval to catheterremoval was 26 hours. Only 15 patients (3%) revealed neoplastic changes in resected tissues. Incidence of secondaryhemorrhage, stricture urethra, epididymo-orchitis, retrograde ejaculation and impotence were observed in 10 (2%), 20(4%), 10 (2%), 5 (1%) and 20 (4%) patients respectively. Only 15 patients (3 %) who developed post-operative retentionand Re-TURP were performed in two patients for the residual prostatic tissue. None of the patient developedincontinence of urine. Pre operative and postoperative history of libido and sexual behavior was also assessed.