AIM: The objective of the study was to analyse the results of a transurethral resection of the prostate (TURP) or a transurethral incision of the prostate (TUIP) performed immediately after kidney transplantation. MATERIAL: For the patients who had undergone a transurethral surgical procedure immediately following a renal transplantation, their files were systematically reviewed. Depending on prostate volume, TURP or TUIP was performed. The preoperative assessment included past medical history, clinical examination, retrograde cystography and PSA. RESULTS: Among the 256 patients having had a renal transplantation between 2001 and 2006, 12 TURP and eight TUIP were done. The procedure was performed 15.2 days (10-30) after the transplantation. The average day of urethral catheter removal was 3.1 days (2-15) after the transurethral procedure. Mean postoperative maximum flow rate was 22.1 ml/s (18-33) and postvoiding residual urine volume was not significant. One patient suffered from two acute urinary retentions that were treated by temporary intermittent self-catherization. Four patients were diagnosed with acute prostatitis. The procedure for benign prostatic hyperplasia did not alter renal function. With a follow-up of 34.2 months (12-73), 18 patients had no urologic symptoms with a mean IPSS score of 4 (3-6). CONCLUSION: TURP or TUIP gives good results immediately following a renal transplantation.
AIM: The objective of the study was to analyse the results of a transurethral resection of the prostate (TURP) or a transurethral incision of the prostate (TUIP) performed immediately after kidney transplantation. MATERIAL: For the patients who had undergone a transurethral surgical procedure immediately following a renal transplantation, their files were systematically reviewed. Depending on prostate volume, TURP or TUIP was performed. The preoperative assessment included past medical history, clinical examination, retrograde cystography and PSA. RESULTS: Among the 256 patients having had a renal transplantation between 2001 and 2006, 12 TURP and eight TUIP were done. The procedure was performed 15.2 days (10-30) after the transplantation. The average day of urethral catheter removal was 3.1 days (2-15) after the transurethral procedure. Mean postoperative maximum flow rate was 22.1 ml/s (18-33) and postvoiding residual urine volume was not significant. One patient suffered from two acute urinary retentions that were treated by temporary intermittent self-catherization. Four patients were diagnosed with acute prostatitis. The procedure for benign prostatic hyperplasia did not alter renal function. With a follow-up of 34.2 months (12-73), 18 patients had no urologic symptoms with a mean IPSS score of 4 (3-6). CONCLUSION: TURP or TUIP gives good results immediately following a renal transplantation.