Benign Prostatic Hyperplasia Modes of Presentation and Management in Rural Area-A Prospective Study

Need for the study As majority of patients in rural area present with severe symptoms of BPH or complications there is a need to study the mode of presentation of BPH, compliance with medical management, surgery and post operative follow up in rural area. Aim Determine the various modes of BPH presentation in our region, management of various modes of presentation, post operative complications. Materials& methods A prospective study conducted at PESIMSR, Kuppam, A. P, India from nov 2013 to jun 2015. Results 100 cases of benign enlargement of prostate are studied during the period from Nov 2013 to Jun 2015, analysed and discussed. Most of these patients seek admission to the hospital because of urinary retention either acute, chronic or acute on chronic retention surgical intervention done in the form of TURP in 37 cases. Medical treatment in 11 cases and combined modality of treatment in 52 cases. Conclusion Medical treatment should be offered to those patients who are not willing for surgery, are unfit for surgery or having IPSS of mild to moderate. In the last 50 years TURP has become established as the procedure of choice in most patients with Benign Prostatic Hyperplasia.