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Related Experiment Videos

Prostatectomy in the over 80-year-old.

M G Wyatt1, M J Stower, P J Smith

  • 1Department of Urology, Royal Infirmary, Bristol.

British Journal of Urology
|October 1, 1989
PubMed
Summary

Prostatectomy for men over 80 offers good long-term outcomes despite high morbidity. Careful pre-operative assessment is crucial for selecting suitable candidates for this procedure.

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Area of Science:

  • Geriatric Medicine
  • Urology
  • Surgical Oncology

Background:

  • Increasing demand for prostatectomy in the aging population (over 80 years old).
  • Need to assess the safety and efficacy of prostatectomy in this specific demographic.

Purpose of the Study:

  • To evaluate the role and outcomes of prostatectomy in patients aged 80 and above.
  • To determine the morbidity and mortality rates associated with prostatectomy in this elderly cohort.

Main Methods:

  • Retrospective study of patients over 80 who underwent prostatectomy over a 2-year period.
  • Analysis of patient demographics, comorbidities, surgical procedures (predominantly TURP), and outcomes.
  • Review of post-operative complications, mortality, and long-term results.

Main Results:

  • 90 patients underwent 94 prostatectomy operations; 90% were Transurethral Resection of the Prostate (TURP).
  • High prevalence of serious comorbidities (71%) and prior prostatectomy (12%).
  • Significant post-operative morbidity (71%), with satisfactory results in 80% at 6 weeks, and a mortality rate of 9.9% within 6 months.

Conclusions:

  • Prostatectomy can achieve good long-term outcomes in carefully selected patients over 80.
  • High morbidity necessitates thorough pre-operative evaluation to mitigate risks.
  • Careful patient selection and management are key to successful prostatectomy in the elderly.

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