الفهرس 
Introduction and Aim of The WorkOnly 14 pages are availabe for public view
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Abstract
This clinical study is aiming at overall evaluation of the TURP, with stressing on the application of the international prostate symptom score (IPSS) for pre-operative and post-operative evaluation of the patient’s symptoms qualitatively and quantatively, and outlining the possible complications currently met with during TURP, in the early post-operative period and in the late period to evaluate the experience and for proper patient selection and better outcome of this method of treatment.
Conclusion:
Transurethral prostatectomy is the gold standard of treatment for patients suffering from bladder outflow obstruction due to BPH for the following reasons:
1- TURP has a relatively lower complication rate, higher safety and is suitable even for the patient who is unfit for open surgery.
2- Short post-operative hospital stay with its socioeconomic implications, beside being cost effective.
3- Many associated urinary tract lesions can be dealt with a long with TURP in the same session.
4- TURP is still withstanding against and is superior to all the recently developed treatment modalities as heat therapy, laser and drugs.
Although its role is limited now, open prostatectomy is still needed in certain cases of BPH, namely those of huge size of the adenoma which couldn’t be safely and completely resected in a reasonable time. For such a huge sized prostate, open enucleating is easy and more accurate without much expense on the patient’s safety.