Superselective α-adrenergic blockers versus transurethral resection of the prostate: a prospective comparison of health-related quality of life outcome after treating patients with benign prostatic hyperplasia.

Abstract

PURPOSE:

We prospectively evaluated the impact of transurethral resection of the prostate (TURP) versus superselective α-adrenergic blocker treatment on health-related quality of life (HRQOL) in men with clinically diagnosed benign prostatic hyperplasia (BPH).

PATIENTS AND METHODS:

A total of 219 patients with lower urinary tract symptoms (LUTS) caused by BPH were recruited in this study. Treatment modalities consisted of standard TURP (n = 104) and tamsulosin medical treatment (n = 115). HRQOL was assessed by SF-36-Item Health Survey 1.0. LUTS were estimated by The International Prostate Symptom Score. Patients' outcome 4 weeks after treatment was compared to pre-treatment status and to that of the other group. Statistically significant changes in each HRQOL scale from baseline to follow-up period were investigated.

RESULTS:

Baseline characteristics were similar in both groups except for the duration of disease before treatment that was longer in TURP group. Both treatments resulted in statistically significant improvements from pre-treatment in all scales of QOL after 4 weeks, with no significant differences observed between the two groups. In medical treatment group, there was a significant association between higher educational level and better QOL in all 8 scales. Our outcomes revealed a significant decrease in the IPSS in both groups but this improvement was more evident in TURP group.

CONCLUSION:

All scales concerning HRQOL were favorably improved 4 weeks after both surgical and medical treatment, and no significant differences were observed between these two treatment modalities for patients with symptomatic BPH. This information may aid patients when deciding which treatment option to take.

• Authors: Negin Hadi, Alireza Aminsharifi, Ali Sadeghi, Ali Tourchi
• Journal: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation (Qual Life Res) Vol. 22 Issue 6 Pg. 1287-93 (Aug 2013) ISSN: 1573-2649 [Electronic] Netherlands
• PMID: 22948258 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Adrenergic alpha-Antagonists
• Sulfonamides
• Tamsulosin

Topics

• Adrenergic alpha-Antagonists (therapeutic use)
• Aged
• Health Status
• Health Surveys
• Humans
• Male
• Middle Aged
• Prospective Studies
• Prostatic Hyperplasia (psychology, therapy)
• Quality of Life
• Sickness Impact Profile
• Socioeconomic Factors
• Sulfonamides (therapeutic use)
• Surveys and Questionnaires
• Tamsulosin
• Transurethral Resection of Prostate
• Treatment Outcome