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[Open surgery of elderly patients with benign prostatic hypertrophy]
K Kurokawa1, Y Tamura, H Ogura
1Department of Urology, School of Medicine, Gunma University.
Hinyokika Kiyo. Acta Urologica Japonica
|October 1, 1990
Summary
Open prostatectomy is a useful treatment for elderly patients with benign prostatic hypertrophy (BPH), offering good prognosis and no impact on lifespan, despite potential complications. Careful management is key for optimal outcomes in older adults.
Area of Science:
- Urology
- Geriatric Surgery
Context:
- Benign prostatic hypertrophy (BPH) is a common condition in elderly men.
- Open prostatectomy has been a traditional surgical approach for BPH.
Purpose:
- To retrospectively evaluate complications and prognosis in patients over 80 undergoing open prostatectomy for BPH.
- To assess the safety and efficacy of open prostatectomy in an elderly BPH population.
Summary:
- A 20-year retrospective study of 33 male patients over 80 with BPH undergoing open prostatectomy.
- High rates of preoperative complications were noted, necessitating careful management.
- Postoperative complications were also slightly elevated, potentially due to pre-existing conditions like urinary retention or prior cystostomy.
- Despite complications, 88% experienced improvement, with no evidence of reduced lifespan, indicating a good prognosis.
Impact:
- Open prostatectomy demonstrates utility and a favorable prognosis for elderly patients with BPH.
- Highlights the importance of meticulous preoperative assessment and perioperative care in this demographic.
- Suggests that surgical intervention can improve quality of life without adversely affecting longevity in elderly BPH patients.