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Transurethral prostate resection for urinary retention: does age affect outcome?

Giovanni Losco¹, Stephen Mark, Sharryn Jowitt

¹Department of Urology, Christchurch Hospital, Christchurch, New Zealand. g.losco@xtra.co.nz

ANZ Journal of Surgery

|November 29, 2012

Summary

Transurethral resection of the prostate (TURP) offers good outcomes for urinary retention. However, advanced age is linked to increased long-term catheter dependence after TURP.

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Area of Science:

Urology
Geriatric Medicine
Surgical Outcomes

Background:

Transurethral resection of the prostate (TURP) is a common procedure for urinary retention caused by prostatic obstruction.
While short-term TURP success is known, long-term outcomes, especially concerning age, are less understood.

Purpose of the Study:

To evaluate the long-term impact of age on outcomes after TURP.
To assess catheter-free rates, incontinence, pad usage, and quality of life in patients following TURP.

Main Methods:

A prospective study of 100 consecutive patients undergoing TURP for urinary retention.
Follow-up for 3 years to collect data on catheter dependence, incontinence, pad usage, and quality of life via the International Prostate Symptom Score.

Main Results:

Ninety-five patients were analyzed with a mean age of 75.6 years and 704-day follow-up.
13% of patients remained catheter-dependent, with a significantly higher mean age (84.9 years) compared to catheter-free patients (74.3 years).
24% of patients aged 80+ were catheter-dependent; 31% reported urine leakage, but only 5% required pads.

Conclusions:

TURP provides satisfactory outcomes for urinary retention, even in the elderly if anesthesia is safe.
Advanced age is a significant factor associated with higher long-term catheter dependence post-TURP.
Most reported urine leakage is clinically insignificant, and overall quality of life is good.