PURPOSE:To evaluate the relationship between pathologically proven prostatic inflammation (PI)
Prostatitis Treatment and re-operation rates due to urethral stricture
CPPS (US) or bladder neck contracture (BNC) after transurethral resection of prostate
Chronic Pelvic Pain Syndrome (TUR-P).
MATERIALS AND METHODS:
Chronic Prostatitis We have retrospectively reviewed the data of 917 consecutive TUR-P cases.
BPH Eligible patients (n = 276) were grouped with respect to presence of PI on TUR-P pathology; Group1: PI (+) (n = 67, 24.3%), and Group2: PI (-) (n = 209, 75.7%).
Prostatitis The "re-operation" was defined as internal urethrotomy
Prostatitis Symptoms or bladder neck resection performed for BNC or US.
Blood in the semen Groups were compared with respect to descriptive data and need for re-operation. Logistic regression analysis was performed to estimate the independent risk factors for the development of BNC and US.
Blood in the Urine P values under 0.05 were considered significant.
RESULTS:Of the patients, 38 (13.8%)
Burning While Urinating needed re-operation while 238 (86.2%) did not.
Difficulty Urinating The re-operation rate in Group1 was significantly higher than Group2
Pain While Urinating (29.8 vs. 8.6%, P < 0.001). In logistic regression analysis, duration of initial TUR-P and PI were found to be independent risk factors for development of BNC or US after TURP
Prostatitis Treatment .
CONCLUSIONS: Prostatic inflammation
Frequent Urination on TUR-P pathology is an independent variable affecting the development of US or BNC.
Painful ejaculation Our results should be supported by prospective studies including higher number of patients .