Aims and Objectives: The study was performed to evaluate the efficacy and safety of bipolar transurethral resection of prostate (BP-TURP) in the oldest old (>85yrs) with large glands.
Methods: Patients of age >85 years and gland size >60 g, who were operated for Benign Prostatic Hyperplasia (BPH) (BP-TURP) at our institution from January 2014 to January 2018 , were included in the study and data was collected retrospectively. Exclusion criteria were any evidence of suspected neurogenic bladder, bladder cancer, increased serum prostate specific antigen (PSA) (> 4 ng/ml) & history of urethral or prostatic surgery. The patients were divided into two groups according to gland size, one was with an estimated size of >60 g but ≤90 g (Group 1) and the other with >90g (Group 2). Pearsons Chi square test was used to test for the significant differences for categorical data and Student t test and Mann Whitney U test for continuous variables. The difference was considered significant if p value was 85 years) with large glands can be safely treated with BP -TURP with good outcomes and low complication rates.
Key words: Oldest old, large gland, Bipolar TURP
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