DOES THE PRESENCE OF HYPERTENSION AFFECT HAEMORRHAGE IN PATIENTS UNDERGOING TRANSURETHRAL RESECTION OF THE PROSTATE?

Introduction: The aim of this study was to investigate whether there was an effect of hypertension on haemorrhage in patients with symptomatic benign prostatic hyperplasia (BPH) undergoing transurethral resection of the prostate (TURP).

Materials and Methods: Between January 2000 and December 2002, 91 patients with symptomatic BPH undergoing TURP were enrolled in the study, and the patients were divided into two groups; concomitant hypertension (n=25) and normotension (n=66). All patients were assessed at baseline using age, International Prostate Symptom Score (IPSS), prostate volume and maximum urine flow rate (Qmax). Pre and postoperative blood tests including red blood cells (RBC), haematocrit and haemoglobin concentrations were recorded in all patients. Operating time, duration of chateterization and the changes of the blood parameters after TURP were compared between the normotensive and hypertensive patients.

Results: There were no significantly differences in baseline characteristics between the normotensive and hypertensive patients (p>0.05). Blood parameters significantly decreased after TURP in the both normotansive and hypertensive patients (p<0.001). There were no significantly differences in operating time, duration of chateterization and the postoperative changes of the blood parameters between the normotensive and hypertensive patients (p>0.05, for each parameter).

Conclusion: Our study demonstrated that when compared with normotensive patients, hypertensive patients with symptomatic BPH undergoing TURP does not have additional morbidity related to blood loss when the blood pressure was undercontrol.