Effect of verumontanum resection in transurethral resection of the prostate on postoperative voiding function and incontinence

• Published in: Surgical practice 2011-05, Vol.15 (2), p.48-53
• Main Authors: Filiz, Devrim Nihat, Yilmaz, Yuksel, Koc, Gokhan, Dirik, Alper, Akgul, Korhan
• Format: Article
• Language: English
• Subjects: benign prostatic hyperplasia; incontinence; Prostate; Surgical outcomes; Surgical techniques; Urinary incontinence; Urogenital system; verumontanum
• ISSN: 1744-1625; 1744-1633
• DOI: 10.1111/j.1744-1633.2011.00540.x

Objective:  We evaluated the effect of verumontanum resection after transurethral resection of the prostate on postoperative urination and incontinence symptoms in patients. Materials and Methods:  A total of 68 patients who had undergone transurethral resection of the prostate during the period between January 2006 and January 2009 were included in the study. The patients were separated into two groups. After transurethral resection of the prostate, a verumontanum resection was carried out in the first group of patients, but no additional operation was carried out in the second group. At the end of the third and sixth months, all patients were assessed in terms of the International Prostate Symptom Score, maximum urinary flow rate, quality of life and urinary incontinence. Results:  At the end of the sixth month, the obstructive International Prostate Symptom Score of the group in which verumontanum resection was carried out was found to be significantly better, but in terms of other parameters, no significant differences were detected between the two groups. The results achieved at the end of the sixth month were significantly better then the third month's results in both groups. In one patient who had a verumontanum resection, total incontinence developed and, consequently, an artificial urinary sphincter was placed. Conclusion:  Although verumontanum resection causes no serious urination changes in patients, it was shown that the verumontanum and its circumference can be safely resected without affecting the patient's continence status.