title: Impact of asymptomatic prostatitis on re-operations due to urethral stricture or bladder neck contracture developed after TUR-P.
abstract: OBJECTIVE
  To evaluate the relationship between pathologically proven prostatic inflammation (PI) and re-operation rates due to urethral stricture (US) or bladder neck contracture (BNC) after transurethral resection of prostate (TUR-P).
  
  
  METHODS
  We have retrospectively reviewed the data of 917 consecutive TUR-P cases. Eligible patients (n = 276) were grouped with respect to presence of PI on TUR-P pathology; Group1: PI (+) (n = 67, 24.3%), and Group2: PI (-) (n = 209, 75.7%). The "re-operation" was defined as internal urethrotomy or bladder neck resection performed for BNC or US. Groups were compared with respect to descriptive data and need for re-operation. Logistic regression analysis was performed to estimate the independent risk factors for the development of BNC and US. P values under 0.05 were considered significant.
  
  
  RESULTS
  Of the patients, 38 (13.8%) needed re-operation while 238 (86.2%) did not. The re-operation rate in Group1 was significantly higher than Group2 (29.8 vs. 8.6%, P < 0.001). In logistic regression analysis, duration of initial TUR-P and PI were found to be independent risk factors for development of BNC or US after TUR-P.
  
  
  CONCLUSIONS
  Prostatic inflammation on TUR-P pathology is an independent variable affecting the development of US or BNC. Our results should be supported by prospective studies including higher number of patients.
authors.affiliation: Department of Urology, Ankara Numune Education and Research Hospital, Ulku Mahallesi, Talatpasa Bulvari, Nr: 5, 06100 Altindag, Ankara, Turkey.
authors.forename: Omer Gokhan
authors.initials: OG
authors.lastname: Doluoglu
authors.forename: Cevdet Serkan
authors.initials: CS
authors.lastname: Gokkaya
authors.forename: Binhan Kagan
authors.initials: BK
authors.lastname: Aktas
authors.forename: Cetin Volkan
authors.initials: CV
authors.lastname: Oztekin
authors.forename: Suleyman
authors.initials: S
authors.lastname: Bulut
authors.forename: Ali
authors.initials: A
authors.lastname: Memis
authors.forename: Mesut
authors.initials: M
authors.lastname: Cetinkaya
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003286:Contracture / Q000209:etiology* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D011470:Prostatic Hyperplasia / Q000601:surgery*; D011472:Prostatitis / Q000150:complications*; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D020728:Transurethral Resection of Prostate / Q000009:adverse effects*; D014521:Urethra / Q000601:surgery; D014525:Urethral Stricture / Q000209:etiology* / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology* / Q000601:surgery