[Prostatotomy. Long-term results]

Sixty-five patients were treated with transurethral incision of the prostate (TUI-P) on account of slight obstructive enlargement of the prostate. Out of these, 46 were followed-up with a median period of observation of just under four years. In five patients prostatotomy proved insufficient and resection or repeated TUI-P was necessary. 80% of the patients considered that micturition had improved as assessed subjectively by means of a simple rank scale. Assessed symptomatically according to Madsen & Iversen's scale, a median score of 2 and less than 10 was found in 85%. Assessed objectively by means of urine flow measurement, a median peak flow of 10.5 ml/second was found and greater than 9 ml/second in 73%. No structures were demonstrated and none of the patients were incontinent. The magnitude of the ejaculate was unchanged in 26%, less in 39% while this was unknown in 35%. These results do not differ essentially from corresponding long term observations and the method must be considered particularly suitable for treatment of obstructive moderate hypertrophy of the prostate.