Does Prostatitis Influence Surgical Outcome of Patients With Benign Prostate Hyperplasia?

Munir Ahmed, Shahzad Ali, Naresh Kumar, Muhammad Mansoor, Saeed Ahmed Khan, Abdul Mujeeb

Abstract

Objective

To determine the effect of prostatitis on lower urinary tract symptoms (LUTS) in patients undergoing transurethral resection of prostate (TURP) on incidental finding on histopathology along with benign prostate hyperplasia (BPH).

Study design

Retrospective study.

Place & Duration of study

Department of Urology, Jinnah Postgraduate Medical Center (JPMC) Karachi, from January 2017 to December 2018.

Methodology

The records of the patients in whom TURP was done were reviewed. Clinical parameters (age, size of prostate gland, IPSS for LUTS) and pathological results of prostate were compared before and after TURP at 3rd and 6th month follow up.

Results

Out of 144 patients, 97 were diagnosed to have benign prostate hyperplasia on histopathology while 47 patients had prostatitis along with benign prostate hyperplasia. Age of the patients in both groups was similar while size of the prostate was higher in patients with prostatitis when compared with patients of benign prostate hyperplasia. Patients who had both prostatitis and BPH on histopathology had higher IPSS when compared to patients with benign prostate hyperplasia alone before and after TURP.

Conclusions

In patients, prostatitis may be responsible for worsening of the lower urinary tract symptoms with benign prostatic hyperplasia. Transurethral resection of prostate cannot alleviate the symptoms in patients who had prostatitis and benign prostatic hyperplasia together.

Key words

Lower urinary tract symptoms, Prostate, Benign prostate hyperplasia, Prostatitis, Transurethral resection of prostate.