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[Morbidity of endoscopic prostatic resection: 3-month prospective study. Practical Urology Club]
1Service d'Urologie, Centre Hospitalier, Auxerre, France.
Objectives:
To quantify the complications of TUR of prostate occurring during the first three post-operative months.
Patients And Methods:
Multicentric cooperative study where skilled urologists, aged between 45 and 55 years old, with various practice settings, compile complications in their consecutive patients undergoing TURP between March and June 1996. 410 patients have been assessed by 17 urologists.
Results:
Rate of intraoperative complications is low with 10 patients being transfused and 3 TUR syndromes being observed. Two deaths occurred in patients aged 84 and 92 years-old at post-op day 27 and 30 respectively. Twenty four percent of patients experienced at least one complication during the observation period, the most frequent of which was asymptomatic bacteriuria in 8.5%. Urethral--mainly meatal--stenosis was the main cause for the readmission/reintervention rate (6.5%).
Conclusion:
Early morbidity/mortality of TURP for BPH albeit real, occurs in a small percentage of patients, with a general mild intensity. Alongside with excellent objective and subjective outcome, these rates allow TUR of prostate to remain the gold-standard treatment for BPH.