COMPARISON OF COMPLICATIONS AND OUTCOMES FOLLOWING TRANSURETHRAL RESECTION OF THE PROSTATE IN PATIENTS PRESENTING WITH AND WITHOUT ACUTE URINARY RETENTION

Raheel M1

Research Type

Clinical

Abstract Category

Male Lower Urinary Tract Symptoms (LUTS) / Voiding Dysfunction

Abstract 389
Open Discussion ePosters
Scientific Open Discussion Session 102
Thursday 18th September 2025
13:40 - 13:45 (ePoster Station 1)
Exhibition
Benign Prostatic Hyperplasia (BPH) Bladder Outlet Obstruction Infection, Urinary Tract Voiding Dysfunction Surgery
1. Leicester General Hospital, UHL, NHS Trust
Presenter
Links

Abstract

Hypothesis / aims of study
This study aims to evaluate the outcomes and complications of transurethral resection of the prostate (TURP) in patients presenting with and without acute urinary retention (AUR) due to benign prostatic hyperplasia (BPH). We hypothesize that patients with AUR experience higher rates of postoperative complications and longer recovery times compared to those without AUR.
Study design, materials and methods
This descriptive study was conducted from August 11, 2023, to February 11, 2024. A total of 127 male patients aged over 40 years with prostate sizes between 40-80 grams on ultrasonography were included. Exclusion criteria included patients with a history of prostate cancer or prior prostate surgery. TURP was performed on all patients using a bipolar resectoscope under spinal anesthesia. Postoperative complications such as urinary tract infections (UTIs), hematuria, lower urinary tract symptoms (LUTS), recatheterization, and hospital stay duration were assessed. Statistical analysis was performed using IBM SPSS Version 23, and chi-square and independent t-tests were used to compare the AUR and non-AUR groups. Statistical significance was defined as p ≤ 0.05.
Results
The mean age of patients was 64.92 ± 3.8 years. AUR was observed in 63 patients (49.6%). Postoperative complications, including UTIs (17.5% vs. 14.1%, p=0.39), hematuria (12.7% vs. 25.0%, p=0.06), LUTS (12.7% vs. 7.8%, p=0.27), recatheterization (22.2% vs. 23.4%, p=0.52), and sepsis (15.9% vs. 9.4%, p=0.20), were more frequent in the AUR group, though the differences were not statistically significant. The need for blood transfusions was higher in the AUR group (28.6% vs. 17.2%, p=0.09). Hospital stay duration and symptom resolution rates were similar between the groups.
Interpretation of results
Patients with AUR had higher rates of certain postoperative complications, including UTIs, hematuria, and blood transfusions. However, these differences did not reach statistical significance. The length of hospital stay and symptom resolution were comparable between the two groups, suggesting that while AUR may increase the risk of some complications, it does not significantly impact overall recovery.
Concluding message
AUR in BPH patients undergoing TURP is associated with a higher frequency of postoperative complications, though these differences are not statistically significant. Further large-scale, multicenter studies are recommended to better understand the clinical implications of AUR in TURP outcomes.
Figure 1 Comparison of Postoperative Outcomes between AUR and Non-AUR Groups
Figure 2 Overall Postoperative Complications
Disclosures
Funding None Clinical Trial Yes Public Registry No RCT No Subjects Human Ethics Committee Institute of Kidney Diseases, Hayatabad Medical Complex, Peshawar, Pakistan. IRB No : 177. Helsinki Yes Informed Consent Yes
16/07/2025 19:30:58