Demographic Trends and Clinical Outcomes of Transurethral Resection of the Prostate (TURP) in Tobruk City: A 2020-2024 Analysis

Background: This study aims to assess the short-term clinical outcomes of transurethral resection of the prostate (TURP) in patients with benign prostatic hyperplasia (BPH), examining factors such as the amount of resected tissue, age, prostate size, anesthesia, and complications. Methods: A retrospective analysis was conducted on 79 male patients (mean age 73.9 years) who underwent TURP between 2020 and 2024. Patient demographics, complications, hospital stay, blood transfusion requirements, and prostate size were reviewed. Statistical analysis was performed to identify correlations between these factors and clinical outcomes. Results: Age significantly impacted recovery, with patients over 70 representing 69.6% of the cohort. Complications were reported in 20.25% of cases, with dysuria, fever, and urinary retention being the most common. Technological advancements have reduced perioperative complications such as blood transfusions (10%) and TURP syndrome. Spinal anesthesia was used in 100% of cases and associated with fewer complications. Prostate size (mean 19.75g) showed little impact on short-term outcomes, and the average hospital stay was 3-4 days. Conclusions: The volume of resected tissue did not significantly affect short-term clinical outcomes. Instead, factors such as age, anesthesia type, and surgical technique played a more crucial role in patient recovery. TURP remains a safe and effective treatment for BPH, but further studies are recommended to explore long-term outcomes.