In spite of newer evolutions in the medical management of benign
prostatic enlargement, surgery still continues to be an important modality. A
prospective randomized controlled trial study conducted on 50 patients of
benign prostate enlargement who were admitted inward from June 2007 to March 2010.
Patients with diabetes mellitus or pre-existing epididymoorchitis were excluded
from the study. All these patients were planned for prostatectomy (modified
Freyer’s/TURP) with NSV (study group) or without NSV (control group), each
group consisting of twenty five assigned randomly. Preoperative urine culture
was positive in 52% of the patients in study group and 48% of the patients in
control group. E coli was the most
common organism in both groups. 4% of patients in study group developed epididymoorchitis
while incidence rate of epididymoorchitis was 8% in control group (p => 0.05).
The difference in the two groups was statistically insignificant. The total
number of cases investigated in this study was fifty, so it does not meet the
minimum required for statistical analysis. Therefore, a large scale of study
should be carried out in future.
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