Related Experiment Video
Updated: Jul 12, 2026
07:17
Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
Published on: May 9, 2018
Prostatectomy: patients' perception and long-term follow-up.
P R Malone1, A Cook, R Edmonson
1Department of Urology, St James' Hospital, Balham.
British Journal of Urology
|March 1, 1988
Summary
Prostatectomy is a safe procedure with good patient acceptance. However, patients may experience residual urinary symptoms or sexual side effects like retrograde ejaculation, requiring careful pre-operative evaluation.
Area of Science:
- Urology
- Surgical Outcomes
Background:
- Prostatectomy is a common surgical intervention for benign prostatic hyperplasia.
- Long-term outcomes and patient satisfaction require thorough investigation.
Purpose of the Study:
- To evaluate the long-term safety and patient acceptability of prostatectomy.
- To assess the incidence of residual urinary symptoms and sexual dysfunction post-surgery.
Main Methods:
- Review of 500 consecutive prostatectomies with 5-8 years follow-up.
- Questionnaires, interviews, physical examinations, and uroflowmetry for 184 surviving patients.
Main Results:
- Operative mortality rate was 0.5%.
- 36% of patients with chronic retention and 24% of elective cases had residual urinary symptoms.
- 34% of sexually active patients reported worsened sexual function; 93% experienced retrograde ejaculation.
Conclusions:
- Prostatectomy is a safe operation with generally good patient acceptability.
- Careful pre-operative evaluation is crucial, especially for patients with prostatism symptoms.
- Sexually active patients must be counseled on potential risks including impotence and decreased satisfaction due to retrograde ejaculation.
