Comparative study between "TU.R.P." and retropubic resection of benign prostatic hypertrophy (Millin's)

Abstract

The safety and efficacy of (T.U.R.P.) and Millin's prostatectomy in the treatment of patients with prostatic hypertrophy was investigated. From December 2001 — December 2002. Consecutive "30" unselected patients with prostatic hypertrophy included in this study. Patients preoperatively evaluated by (A.U.A.) sorinng system, U. /S., GUB, C.B.P., and Biochemical blood testes. Fifteen patients undergone "T.U.R.P.", and fifteen patients undergone Millin's prostatectomy. Both groups followed for (40 weeks) by (A.U.A.) scoring system, U./S.& Urine C./S. The big size prostate gland treated by Millin's prostatectomy, and the smaller size prostate treated by "T.U.R.P." and in both the results was good improvement in "A.U.A" score and residual urine also greatly diminished postoperatively in both groups. While, the results was discouraging in patients with big prostate by T.U.R.P. The complications rate was high in Millin's prostatectomy in comparison with T.U.R.P. Smaller size prostate better be treated by T.U.R.P. while big size better be treated by Millin's prostatectomy, postoperative complications occur in Millin's prostatectomy with higher rate than T.U.R.P. There was very well improvement in obstructive symptoms after Millin's prostatectomy than T.U.R.P.