VIDEO TURP: SURPASSING THE GOLD STANDARD

Abstract

Objectives: To compare the resection time and resected volume of the prostate in patients who were
subjected to video Trans-urethral resection of prostate (TURP) and conventional TURP, and to determine
the difference in the duration of bladder irrigation during post-operative period for conventional TURP and
video TURP.

Study Design: Comparative randomized control study.

Methods: The study was conducted in the Department of Urology at Pakistan Institute of Medical Sciences
(PIMS) Islamabad from Is' March 2002 to 28,h February 2003. Total number of 100 patients were equally K
divided into two groups. Group ’A’ comprising of 50 patients (Control) were subjected to Conventional
TURP and Group 'B' comprising of 50 patients (Case) were subjected to video TURP respectively. The
sample was randomized by the last digit of the hospital admission number, Even number was allocated to
group 'A' and Odd number to group 'B'. The data was recorded on structured proforma and was analyzed on
SPSS. ' ;

Results: The mean age of the patients was 65.5 years with the range of 42-96 years. The Mean resection time
for conventional TURP was 36.03 minutes and for video TURP was 37.27 minutes ( P value = 0.068 ). The
mean resected volume for conventional TURP was 18.5 gm and for video TURP was 23.65gm ( P value =
0.01 ). The post operative irrigation of the bladder with 0.9% saline was required for 3.32 days in
conventional TURP, while it was required for 1.57 days in video TURP ( P < 0.05 ). There was no TURP
syndrome recorded in both the groups and the mean hospital stay for both the group was equal i.e. 4th Post
operative day as per protocol of our department.

Conclusion: The video TURP has opened up a new Approach in endourology. It is more effective in
resection than conventional TURP and bears the same safety of resection time as conventional TURP.

Key Words: Prostate,TURP, Endourology, Video TURP