Contact: +91-9711224068
  • Printed Journal
  • Indexed Journal
  • Refereed Journal
  • Peer Reviewed Journal
International Journal of Nephrology Research

Vol. 7, Issue 1, Part A (2025)

The relationship between weight and volume of resected prostate tissue and Postoperative improvement of IPSS for patients with benign prostatic hyperplasia

Author(s):

Mohamed Whaib, Saad Dakhil F Daraji and Mohammed Khalid Khudhair

Abstract:

Background: Transurethral resection of the prostate (TURP) remains the gold standard surgical treatment for BPH. However, the impact of amount of resected tissue on the improvement of IPPS is controversial.
Aim: To evaluate the relationship between weight and volume of resected prostate tissue and improvement of IPSS for patients with benign prostatic hyperplasia.
Patients and Methods: This is a prospective and comparative study included 96 patients with BPH with moderate to severe LUTS that were refractory to medical treatment. All patients were underwent TURP. According to the proportion of prostatic tissue removed, patients were categorized into two groups: Group A: those undergoing <30% resection, Group B: those undergoing ≥30% resection. Demographic and clinical characteristics of the patients including International Prostate Symptom Score (IPSS), and prostate specific antigen (PSA) were gathered. All patients were called for evaluation at postoperative 6-12 months and IPSS, and serum PSA levels of the patients were measured. Based on the postoperative reduction in IPSS, patients were categorized into high and low reduction of IPSS. 
Results: Each of IPSS, PSA and PVR were highly reduced after TRUP. TURP associated with significant reduction in in PVR (129 to 19.5 ml), PSA (1.8 to 0.5 ng/ml) and IPSS (20.26 to 3.42).Weight and percentage of resected prostate were higher in high IPSS reduction (19.45±7.3 gr and 58.7%) than in low IPSS reduction (16.18±4.92 gr and 34%, respectively) with significant difference. Resection of ≥30% of prostatic tissue associated with high IPPS reduction. In contrast, the median PVR and PSA were higher in low IPSS reduction (16 ml and 0.85 ng/ml, respectively) than in High IPSS reduction (3 ml and 0.3 ng/ml, respectively) with significant differences. Weight and percentage of resected prostate were higher in high IPSS reduction (19.45±7.3 gr and 58.7%) than in low IPSS reduction (16.18±4.92 gr and 34%, respectively) with significant difference. 
Conclusions: Each of weight of resected prostate, Percentage of resected prostate and middle lobe size, were positively associated with the reduction in IPSS. IPSS reduction had a significant negative correlation with each of PVRU and serum PSA.
 

Pages: 08-12  |  48 Views  16 Downloads


International Journal of Nephrology Research
How to cite this article:
Mohamed Whaib, Saad Dakhil F Daraji and Mohammed Khalid Khudhair. The relationship between weight and volume of resected prostate tissue and Postoperative improvement of IPSS for patients with benign prostatic hyperplasia. Int. J. Nephrol. Res. 2025;7(1):08-12. DOI: 10.33545/26646692.2025.v7.i1a.17