Transurethral resection of the prostate as emergency surgery for the treatment of BPH with acute urinary retention

Objective To evaluate the feasibility of transurethral resection of the prostate (TURP) as emergency surgery for the treatment of benign prostatic hyperplasia (BPH)with acute urinary retention. Methods Forty-two patients with acute urinary retention caused by BPH underwent emergency TURP. The data of operative time, the duration of ureteral catheter, media hospital stay were recorded. IPSS and QOL were recorded six weeks after the surgery. Results No sereve complications occurred in the 42 patients. After the catheter removal,no patients required reinsertion. The duration of the ureteral catheter was 6 weeks after the surgery. The mean hospital stay was 6.2 days. IPSS and QOL were 25.4±4.9 and 5.3±0.6 respectively before the operation, and they decreaseded significantly to 6.2±1.9 and 1.6±0.4 after the operation. Conclusons TURP may be a safe and effective choice in emergency surgery for the treatment of BPH patients with acute urinary retention.