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Related Experiment Videos

[Urological surgery in the octogenarian: excessive preconceptions?].

A Páez Borda1, L Prieto Chaparro, J Salinas Casado

  • 1Cátedra de Urología, Hospital Universitario San Carlo (HUSC), Universidad Complutense, Madrid.

Archivos Espanoles De Urologia
|May 1, 1992
PubMed
Summary

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Editorial comment on the article «Perioperative and periprocedural management of antithrombotic therapy: 2025 consensus document of SEC, SEDAR, SEACV, SECCE, AEC, SECOM CYC, SECPRE, SEPD, SEGG, SEGO, SEHH, SETH, SEMERGEN, SEMFYC, SEMG, SEMICYUC, SEMI, SEMES, SEN, S.E.N., SENEC, SEPAR, SEO, SEORL-CCC, SEPA, SERVEI, SECOT, and AEU».

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Prospective analysis of urinary continence and urethral stricture after Holmium laser enucleation of the prostate (HoLEP): A consecutive 254-case series.

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Prospective analysis of the learning curve in holmium laser enucleation of the prostate (HoLEP): A 125 case series.

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Results of the spanish section of the European Randomized Study of Screening for Prostate Cancer (ERSPC). Update after 21 years of follow-up.

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Elderly patients (80+) undergoing surgery for prostate and bladder conditions showed good quality of life post-operation. Objective risk assessment aids in selecting surgical candidates and improving outcomes.

Area of Science:

  • Geriatric Surgery
  • Urological Oncology
  • Surgical Risk Assessment

Context:

  • Review of 277 patients aged 80+ considered for surgery (1980-1990).
  • Analysis focused on surgical risk, patient history, surgery type, and postoperative course.
  • Prostate and bladder conditions comprised over 80% of procedures.

Purpose:

  • Identify risk factors for surgical selection in elderly patients.
  • Permit objective and practical patient selection for surgical treatment.
  • Evaluate postoperative outcomes and quality of life.

Summary:

  • Early postoperative complications were linked to emergency/open surgery, preoperative infections, and ASA score.
  • 61.5% of operated patients reported good/very good quality of life at 6 months.

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  • 50% of non-operated patients maintained good/very good general condition at 6 months.

    • Impact:

    • Preoperative evaluation methods and clinical experience can refine surgical programs.
    • Objective risk assessment facilitates safer and more precise surgical planning for the elderly.
    • Improved patient selection can lead to better quality of life outcomes in geriatric surgical patients.