Predicting TURP Success: How Preoperative Factors Make Difference

Abstract

Background: The most traditional surgical intervention of benign prostatic hyperplasia is transurethral resection of the prostate (TURP) but the procedure has been reported to produce a wide range of functional outcomes due to its success in all patients after the operation.

Objective: To determine the effect of preoperative clinical, functional and comorbidity-related variables on postoperative outcomes after TURP.

Methods: This retrospective study involved 141 patients who had TURP between 2017 and 2025. The preoperative variables were mode of presentation, presence or absence of urinary bladder dysfunction discussed multiple times, catheter dependence, comorbidity, renal functioning, and previous medical treatment. The trial without catheter success, catheter dependency at the final follow up, complications and functional recovery were the evaluated postoperative outcomes.

Results: Patients who came with urinary bladder dysfunction discussed multiple times, especially chronic bladder dysfunction discussed multiple times, were significantly more likely to experience a failure to remove their catheter postoperative and also catheter dependence in the long term than they were to experience failure to remove their catheter postoperative when presenting with LUTS alone. Poor outcomes were connected to hydronephrosis and decreased renal functioning. In general, 87.2 percent of patients were catheter-free at the final follow-up.

Conclusion: Preoperative presentation and patient related factors are strong determinants of outcomes of TURP. Early intervention and thorough preoperative examination are required to better maximize postoperative outcome and patient satisfaction.