Detrusor Underactivity, Transurethral Resection of the Prostate (TURP)
Conditions
Brief summary
The aim of this clinical trial is to evaluate the effect of detrusor underactivity on the functional and symptomatic outcomes following transurethral resection of the prostate (TURP) in benign prostatic hyperplasia patients presenting with chronic urinary retention. The main questions it aims to answer are: Will they restore spontaneous voiding? They will be divided into 2 comparative groups (each group 45 patients) based on detrusor contractility. * Group (A) consists of patients with normal detrusor (bladder contractility index more than 100). * Group (B) consists of patients with underactive detrusor (bladder contractility index less than 100).
Interventions
Standard TURP
Sponsors
Study design
Eligibility
Inclusion criteria
* Age: more than 50-year-old * Chronic urinary retention secondary to BPH * Prostate size Above 30 and less than 100gm
Exclusion criteria
* Prostate size over 100 gm and less than 30 gm * Prostatic carcinoma * Urinary bladder carcinoma * Acute urinary retention * Urethral stricture. * Previous bladder, urethral or prostate surgery. * Acute urinary tract infection. * Neurogenic bladder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Restore spontaneous voiding | 3 months | All the included patients in this study are urethral catheter-dependant pre-operatively and have very bad voiding parameters. we will assess how they will benefit after TURP by regaining spontaneous voiding without the need for urethral catheters any more. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Flow rate improvement | 3 months | uroflowmetry will be done to all patients 3 months post operative and results will be compared |
| Post voiding residual urine volume decrease | 3 months | Post voiding residual urine volume will be calculated using ultrasound and results will be compared |