[Effect of drug therapy on lower urinary tract symptoms indicating the presence of XXXX in transurethral resection of the prostate].

@entity1 @entity1067
OBJECTIVE: Medical therapy of lower urinary tract symptoms (LUTS) suggestive of @entity1067 ( @entity1067 ) has fundamentally changed. The aim of the study is to verify the suggestion that the medical therapy delayed the need of operative treatment and led to changes in characteristics of @entity1 in need of surgery, or whether it had possibly caused deterioration of the results of surgery. MATERIAL AND METHODS: A group of 137 @entity1 treated by TURP in 1991 (before medical therapy was introduced in Slovakia) was compared with a group of 122 @entity1 treated by TURP in 2001 when medical therapy was offered as the primary initial therapy. We evaluated the @entity1 's age, co-morbidity, type and length of medical therapy of LUTS, indications for operation, the weight of the resected tissue, the length of urinary bladder drainage after the operation and the period of hospitalisation. RESULTS: @entity1 in 2001 were on average 3.1 years older (p = 0.007), co-morbidity was present in 68.6% @entity1 in 1991 compared to 85.2% in 2001 (not significant), and TURP for objective indications was done in 58.4% of @entity1 in 1991 and in 50% in 2001. In 2001 71 out of 122 (58.2%) @entity1 received medical therapy and 30 of them (24.6%) were operated on for objective indications. The weight of the resected tissue was 20.2 +/- 13.2 grams in 1991 and 24.6 +/- 15.4 grams in 2001 (p = 0.027). In 1991 the catheter was removed 4.5 +/- 1.8 days after the operation compared to 3.1 +/- 2.2 days in 2001 (p = 0.0001). The duration hospitalisation in 1991 was 7.7 +/- 5.7 days compared to 5.2 +/- 3.2 in 2001 (p = 0.0001). CONCLUSIONS: @entity1 receiving medical therapy have surgery at a higher age. The higher age of @entity1 was not related to co-morbidity or the increased number of operations for objective indications, nor did the complications during surgery increase. On average more of the prostatic tissue was removed and the period of hospitalisation was shorter.
