Transurethral resection of the prostate achieves favorable outcomes in stroke patients with symptomatic benign prostate hyperplasia

Chen Pang Hou, Yu Hsiang Lin, Tien Hsing Chen, Phei Lang Chang, Horng Heng Juang, Chien Lun Chen, Pei Shan Yang, Ke Hung Tsui

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)

Abstract

Objectives: To evaluate the surgical outcomes of stroke patients with symptomatic benign prostatic hyperplasia (BPH) who underwent transurethral resection of the prostate (TURP) and compare the clinical outcomes between patients with stroke and those without stroke receiving this procedure. Methods: This retrospective cohort study analyzed claims data collected during the period of 1997–2012 from Taiwan National Health Insurance Research Database. We enrolled 6625 patients who had persistent lower urinary tract symptoms and underwent TURP for BPH. They were categorized into a stroke (n = 577) and nonstroke (n = 6048) group. Patient characteristics, postoperative clinical outcomes, medication records, and medical expenses were compared. Results: Compared with the stroke group patients, those in the nonstroke group were younger, had fewer comorbidities, and more favorable postoperative clinical outcomes. Nevertheless, TURP achieved favorable outcomes in stroke patients with symptomatic BPH. In the stroke group, the rate of urinary tract infection (UTI) decreased from 34.7% during 1 year preoperatively to 29.8% during 1 year postoperatively (p =.05). The rate of urinary retention (UR) also decreased from 55.5% during 1 year preoperatively to 22.5% during 1 year postoperatively (p =.05). TURP reduced the overall medical expenses of patients with stroke. Annual patient medical expense during 1 year preoperatively, 1 year postoperatively, 2 years postoperatively, and 3 years postoperatively was NT$659,000, NT$646,000, NT$560,000, and NT$599,000, respectively. Conclusions: In patients with stroke, TURP reduces the risks of UTI and UR and annual total medical expense.

Original languageEnglish
Pages (from-to)9-16
Number of pages8
JournalAging Male
Volume21
Issue number1
DOIs
Publication statusPublished - Jan 2018
Externally publishedYes

Keywords

  • aging male
  • Benign prostate hyperplasia
  • lower urinary tract syndrome
  • prostatectomy
  • stroke

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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