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Related Experiment Videos

Prostatectomy in the very aged.

P Perimenis1, A Athanasopoulos, M Melekos

  • 1Department of Urology, Patras University Medical School, Greece.

International Urology and Nephrology
|January 1, 1992
PubMed
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Prostatectomy is a safe and effective treatment for very elderly men with benign prostate disease. This study shows a high success rate and manageable risks, highlighting the importance of specialized care.

Area of Science:

  • Geriatric Medicine
  • Urology
  • Surgical Oncology

Background:

  • Increasing number of elderly men requiring prostatectomy for benign conditions.
  • Need to evaluate surgical outcomes in this specific demographic.

Purpose of the Study:

  • To assess the safety and efficacy of prostatectomy in very aged men.
  • To determine the mortality, morbidity, and success rates of the procedure in this population.

Main Methods:

  • Retrospective analysis of 79 patients aged 80 and above undergoing prostatectomy over four years.
  • Procedures included 62 endoscopic and 17 open surgeries.
  • Outcomes evaluated included mortality, morbidity, and operative success at six weeks.

Main Results:

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  • Overall mortality rate was 3.7%, with all deaths occurring postoperatively.
  • Morbidity rate was 61%, but did not significantly impact final outcomes.
  • Operative success rate was 87% at six weeks, considered satisfactory for the age group.

Conclusions:

  • Prostatectomy is a safe and effective treatment option for very aged men with benign prostate disease.
  • Detailed preoperative assessment and specialized postoperative care are crucial for optimal outcomes.
  • The procedure represents a low-cost treatment with favorable results in this elderly population.