Open Access Open Access  Restricted Access Subscription Access


Rajshree Mukhiya, Satyendra Prasad Mukhiya, Kaustubh Gupta, Ankit Jain


Aim: To evaluate the surgical management of BPH with emphasis on Open Prostatectomy and TURP. To compare the outcomes of Open Prostatectomy and TURP in BPH patients in order to assess morbidity and mortality associated with prostatectomy.


Material and Methods: Patients needing prostatectomy for various indications admitted to a general surgical unit in CRGH, Ujjain, during a period from May, 2013 to April 2014 were included in this study. In all 100 patients were included in the study. Fifty patients were treated transurethrally and fifty by suprapubic approach.


Results: Two groups of fifty patients each were made, i.e. TVP and TUR groups. Both groups were relieved, albeit reoperation was done in TUR group. Hospital stay wound complications were more in TVP group. Better compliance was seen in a patient of TUR group. No mortality occurred in the study.


Conclusion: Transurethral resection is the method of choice in the treatment of benign prostatic hyperplasia especially in patients with mild to moderate prostatic enlargement and in the elderly patients with co-existing medical disease.


TURP, BPH, Open Prostatectomy, Transurethral Resection, Prostate, Prostatic Hyperplasma.

Full Text:



Ahlstrand C, and Jonsson CP. (1996). “An estimate of the life time cost of surgical treatments of patients with benign prostatic hyperplasia in Sweden”, Scand J Urol Nephrol, Vol.30, pp.37-43.

Beng JK, and Prabhakaran K. (1977). “Transurethral resection of prostate and "open" prostatectomy- experiences in a general surgical unit”, Singapore Med J, Dec, Vol.18(4), pp.237-241.

Blandy J, Notley R, and Reynard J. (2005). “Transurethral resection”, Taylor & Francis, London, Chapter 1, History, pp.4-27.

Cinman AC, and Fisher AS. (na). “Review of prostatectomies at the Johnnesberg General Hospital”, S.A. J.S., Vol.18(4), p.141.

Frank RM, and Lloyd FA. (1959). “A clinical study on the effectiveness of adrenosem in transurethral resection”, J. Urol, Vol.82, p.243.

Freyer PJ. (1900). “A new method of performing perineal prostatectomy”, Br Med J., Vol.1, pp.698-699.

Gow J, and Hopkins H. (1978). “Handbook of urological endoscopy”, Churchill Livingstone, Edinburgh.

Jepsen JV, and Bruskewitz RC. (1998). “Recent developments in the surgical management of benign prostatic hyperplasia”, Urology, Apr, Vol.51(4A Suppl), pp.23-31.

Kim HL, and Degrun A. (2005). “Urology”, Brunicardl FC, Andersen DK, Billiar TR, Dunn DL, Hunteer JG, and Pollock RE. “Schwartz Principles of Surgery”, Vol.(8), pp.1528-1529.

Leach RD. (1964). “Prostatectomy at a district general hospital”, Ann R Co J Urol, Oct, Vol.92, pp.314-316.

Lukacs B. (1999). “Management of symptomatic BPH in France: who is treated and how?”, Eur URol, Vol.36 (Suppl 3), pp.14-20. (2016). “TURP surgery - Information and support - Macmillan Cancer Support”, Available online:, [cited 5 August 2016]

Madsen PO, Kaveggia L, and Atassi SA. (1964). “The Effect of Estrogens (Premarin) And Regional Hypothermia On Blood Loss During Transurethral Prostatectomy”, J Urol, Oct, Vol.92, pp.314-316.

McDougal W. (2012). “Campbell-Walsh urology”, Tenth edition review, Elsevier/Saunders, Philadelphia, PA, Chapter 93, p.2655.

Mozes B, Cohen YC, Olmer L, and Shabtai E. (1996). “Factors affecting change in quality of life after prostatectomy for Benign Prostatic Hypertrophy; the impact of surgical techniques”, J Urol, Jan, Vol.155(1), pp.191-196.

Neal DE, and Kelly JD. (2004). “The prostate and seminal vesicles”, in Russel RCJ, Williams NS, and Bulstrode CJK. “Bailey & Love`s short practice of Surgery”, Vol.24, pp.1372-2379.

Nickel JC, Méndez-Probst CE, Whelan TF, Paterson RF, and Razvi H. (2010). “The Canadian Prostate Health Council and the CUA Guidelines Committee. 2010 Update: Guidelines for the management of benign prostatic hyperplasia”. Can Urol Assoc J., Oct, Vol.4(5), pp.310-316.

Olumni AF, and Richie JP. (2004). “Urologic Surgery”, in Townsend Sabiston Textbook of Surgery: The Biological basis of modern surgical practice, Vol.2, pp.2301-2304.

Reich O, Gratzke C, and Stief CG. (2006). “Techniques and long-term results of surgical procedures for BPH”, Eur Urol, Jun, Vol.49(6), pp.970-8, discussion 978. Epub 2006 Feb 6.

Roos NP, Wennberg JE, Malenka DJ, Fisher ES, McPherson K, Andersen TF, Cohen MM, and Ramsey E. (1989). “Mortality and reoperation after open and transuretheral prostatectomy for benign prostatic hyperplasia”, N Engl J Med, Apr 27, Vol.320(17), pp.1120-1124.

Serretta V, Morgia G, Fondacaro L, Curto G, Lo bianco A, Pirritano D, Melloni D, Orestano F, Motta M, and Pavone-Macaluso M. (2002). “Open prostatectomy for Benign Prostatic enlargement in southern Europe in the late 1990s: a contemporary series of 1800 interventions”, Urology, Vol.60(4), pp.623-627.

Urology. (2016). Available online:, [cited 12August2016]


  • There are currently no refbacks.

Send mail to with questions or comments about this web site. 

International Journal of Surgery and Surgical Sciences, All rights reserved.