Incidence of Early Postoperative Complications in Patients with Co-morbidities Undergoing Transurethral Resection of the Prostate

Open Access

Abstract

Introduction: BPH is a common condition among ageing men, often causing lower urinary tract symptoms for which TURP is usually indicated. Early post-operative complications are still a concern, especially in patients with co-morbidities. This study was therefore designed to evaluate the incidence and pattern of early postoperative complications in patients with co-morbidities undergoing TURP. Methods & Materials: The prospective observational study was carried out at the Department of Urology, BIRDEM General Hospital, Dhaka, Bangladesh, from November 2016 to May 2017. 50 patients undergoing TURP for benign prostatic enlargement were included. Data on demographic variables, comorbidities, operative details, and early postoperative complications were analysed using SPSS version 20. Results: The patients' mean age was 68.7 ± 8.1 years, and 84% had at least one comorbidity. Pre-existing conditions included diabetes mellitus in 66% and urinary tract infection in 54%. In the early postoperative period, 22% of the patients developed complications such as hematuria (16%), clot retention (8%), urinary incontinence (6%), and failure to void (6%). Conclusion: Early postoperative complications following TURP in patients with comorbidities are significantly higher. The number and type of comorbid conditions strongly influence morbidity.