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Open or transurethral surgery for the large prostate gland
D C Lewis1, N A Burgess, C Hudd
1Department of Urology, University Hospital of Wales, Cardiff.
British Journal of Urology
|June 1, 1992
Summary
Transurethral resection (TUR) and open prostatectomy show similar outcomes for large prostates. TUR offers shorter hospital stays, while both procedures have comparable overall complication rates and patient satisfaction.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Benign prostatic hyperplasia (BPH) is common in aging men.
- Large prostate glands (>50g) present surgical challenges.
- Transurethral resection (TUR) and open prostatectomy are common treatments.
Purpose of the Study:
- To compare the efficacy and safety of transurethral resection (TUR) versus open prostatectomy for large prostate glands (>50g).
Main Methods:
- A 5-year retrospective study comparing 94 TUR procedures with 73 open prostatectomies.
- Data collected on mortality, hospital stay, complication rates, and patient satisfaction.
Main Results:
- Similar mortality rates: 1.1% for TUR and 1.4% for open prostatectomy.
- Significantly shorter post-operative hospital stay for TUR.
- Open prostatectomy had more early complications; TUR had more late complications, resulting in similar overall rates (35% vs 36%).
- Patient satisfaction was equal between groups.
Conclusions:
- Both TUR and open prostatectomy are viable options for large prostates with comparable long-term outcomes.
- TUR offers an advantage in reduced hospital stay.
- Careful patient selection and monitoring are crucial due to similar overall complication risks.