[Transurethral electroresection in chronic prostatitis and its complications]

A discussion on possible application of endoscopic surgery for the treatment of chronic prostatitis and its complications is presented. Surgical treatment was performed in 102 patients with chronic prostatitis and isolated or combined prostatic lesions. Most patients were aged 40 to 69 years. Conservative treatment had been ineffective for an average of 5 years. All patients were divided into 6 clinical groups. The most numerous one included patients with chronic prostatitis, complicated by sclerosis of the vesical cervix. Careful patient selection was based on the use of all available up-to-date diagnostic procedures. Principal indications for transurethral electroresection were infravesical obstruction, complicating the underlying disease; persistent pain and dysuria, uncontrollable by conservative means and exhausting the patient, as a result of prostatic retention or calculous or sclerotic complications. Two principal surgical methods were transurethral and subtotal prostatic resection. Possibilities of ultrasonic scanning in the diagnosis of prostatic retention are pointed out. Complication rates and types and surgical results are reported. The results were good in 55%, satisfactory in 36% and poor in 9%. The effect of surgery on sexual capacity is described.