Transurethral Resection of Prostate versus Transvesical Approach: Frequency of Postoperative Urinary Incontinence: Two Year Study

OBJECTIVE: To compare the results of transvesical prostatectomy with transurethral resection of prostate in respect to the presentation and severity of postoperative urinary incontinence. DESIGN: Comparative study. PLACE AND DURATION OF STUDY: This study was carried out in two tertiary care centres. Liaquat University of Medical and Health Sciences Jamshoro from where all cases of TRUP were collected and Muhammad Medical College Mirpurkhas where all transvesical prostatectomies were performed. It was a two years study from April 2004 to March 2006. PATIENTS AND METHODS: Two groups were made and 50 cases were kept in each group by adopting non-probability convenient sampling technique. Patient underwent TURP were kept in group A and transvesical prostatectomy group was titled as group B. Patients having associated stricture urethra, urinary bladder stones or bladder diverticulum and later on proved as carcinoma of prostate were excluded from the study. Urinary incontinence in patients after both procedures was compared. RESULTS: From group A 07 (14%) patients developed incontinence postoperatively and all had stress type of incontinence. While in group B 11 (22%) patients developed urinary incontinence; among them 05 (45.45%) had stress incontinence and 06 (54.55%) developed continuous urinary leakage. Rate of recovery after conservative measures remained rapid with group A as compared to group B. CONCLUSION: Frequency and severity of postoperative urinary incontinence is more with transvesical approach. But the facility of TURP is not freely available. Therefore improvement in the technique of open prostatectomy is mandatory.