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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Comparative Study of Outcome and Quality of Life after Surgical and Medical Management of Benign Enlargement of Prostate

Rushabh Sureshchandra Maisuria, Tejas Bhulabhai Patel, Jay Satishbhai Chaudhari and Rajkumar Singh
Page: 556-559 | Received 08 May 2024, Published online: 22 Jun 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.6.556.559

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Abstract

Benign prostatic hyperplasia (BPH) affects men over 50, with higher prevalence in Asia. Symptoms increase with age, leading to significant prostate enlargement (BPE) and lower urinary tract symptoms (LUTS) in 28% of cases, often causing bladder outlet obstruction (BOO). Despite advancements in laser treatments, transurethral resection of the prostate (TURP) remains common, especially in developing countries. This study compares BPH management outcomes. This 1.5‐year observational study, starting in September 2019 at a South Gujarat hospital, included symptomatic BPH patients aged 50‐80. Ethics approval was obtained. Exclusions were asymptomatic BPH, prostatic carcinoma, and unwilling participants. Pre‐ and post‐operative evaluations included IPSS, QOL scores, prostate size, and lab tests. Treatments included watchful waiting, medical management, and surgery, with quarterly follow‐ups for a year. Ninety patients were included, with age distribution as follows: 41.1% (50‐60 years), 46.7% (60‐70 years), and 12.2% (over 70 years). Patients were categorized by IPSS score into mild, moderate, and severe groups. Post‐treatment, the mild group showed an 8.09% increase in IPSS score, while the moderate and severe groups showed reductions of 45.97% and 67.98%, respectively. Quality of life improved in both moderate and severe groups, with significant post‐treatment score reductions. Among treatment modalities, surgical intervention showed the greatest improvement in both IPSS and QOL scores, followed by medical management. Watchful waiting showed no significant improvement. Surgical treatment for BPH offers substantial improvements in quality of life for patients with moderate to severe symptoms. Medical therapy also yields significant benefits for those with moderate symptoms. However, patients with mild symptoms experience a decline in quality of life with watchful waiting, suggesting the need for more proactive management. These findings highlight the importance of tailored treatment strategies based on symptom severity and patient‐specific factors.

How to cite this article:

Rushabh Sureshchandra Maisuria, Tejas Bhulabhai Patel, Jay Satishbhai Chaudhari and Rajkumar Singh. Comparative Study of Outcome and Quality of Life after Surgical and Medical Management of Benign Enlargement of Prostate.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.6.556.559
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.6.556.559