Title: Randomized Study of Medical Line of Treatment and Surgical Line of Treatment in the Management of Benign Prostatic Hyperplasia in A Tertiary Care Centre

Authors: Dr M.B.Bagwan, Dr Parag Kamboj, Dr Karan Kumar

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i1.26

Abstract

Objectives

1.      To study BPH, in relation to uroflowmetry after medical line of management and surgical line of management.

2.      To study the outcome of both the line of management.

Methods: Between December 2014 to July 2016 we studied 100 men alternatively into medical and surgical catagories, age group of above 50 years, who were attending the outpatient department of Surgery at Krishna institute of medical science karad  with symptom likely suggestive of LUTS.

Results: In our study group mean increase in the PFR was 46.39 % in medical therapy (p<0.05) and 94.96% improvement in surgical patient (p<0.0001), the difference is highly significant goes in favor of TURP.

Conclusion: We thus conclude the medical treatment should be offered to those patients who are not willing for surgery, are unfit for surgery or having early symptoms of LUTS. Inspite of the associated post-operative morbidity in few elderly patients after surgery, of all treatment options, prostate surgery offers the best chance of symptoms improvement with TURP being a gold standard procedure.

Keywords: Benign prostatic enlargement, uroflowmetry , LUTS, TURP, peak flow rates(PFR).

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Corresponding Author

Dr Parag Kamboj

Krishna Institute of Medical Sciences and Deemed University, Malkapur

Karad, District- Satara, Maharashtra

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