The usual surgical treatment for lower urinary tract symptoms (LUTS) caused by prostatic hypertrophy is transurethral resection of the prostate (TURP). LUTS remained in a subset of patients after TURP. Persistent LUTS demanded careful assessment and management. For a review, researchers summarized the prevalence, etiology, and determinants of LUTS after TURP, as well as the suggested assessment and therapy. The incidence of postoperative LUTS was comparable across the various TURP procedures. When compared to the normal bladder, the chronically blocked bladder had been demonstrated to differ in its expression of collagen, tissue factors, and receptors, which contributed to the pathophysiology of LUTS following TURP. Despite the presence of androgen receptors in the urinary epithelium, the significance of sex hormones in LUTS remained unknown. As a result of tissue necrosis, the Green Light laser might cause postoperative irritative voiding symptoms.
Following TURP, a high number of patients experienced chronic LUTS, with similar occurrences across different TURP procedures. To rule out infection, LUTS following TURP should be assessed with a full history and physical, including the International Prostate Symptom Score, and urine culture. As needed, noninvasive uroflow, post-void residuals, and a later urodynamic investigation or cystoscopy could be used. More study was needed to better predict whether patients may suffer no improvement or worsening of LUTS following TURP.
Reference:link.springer.com/article/10.1007/s11934-018-0838-4
