[Effect of TUR and transvesical prostatectomy on symptomatology and quality of life].

The influence of transurethral resection and transvesical prostatectomy on symptoms and quality of life in patients with benign prostatic hyperplasia was evaluated and compared in a prospective study. Two groups of 20 patients each were matched for preoperative symptoms, flow and residual urine. A detailed questionnaire was completed by the patients preoperatively and at various intervals postoperatively. In the patients' judgement both operations brought about a fast and significant improvement of their symptoms. Sexuality, erectile function and libido were not reduced. During the 6-month follow-up no significant differences was found between the two operative procedures in their effects on the parameters examined. Thus, the choice of operation can be based entirely on other parameters, such as prostate weight.