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A review of 1486 transurethral resections of the prostate in a teaching hospital
E P Estey1, D R Mador, M S McPhee
1Department of Surgery, Royal Alexandra Hospital, Edmonton, Alta.
Abstract:
The authors reviewed retrospectively 1486 consecutive transurethral resections of the prostate (TURP) gland performed in a teaching hospital between 1985 and 1987. The death rate was 0.8% in an institution where senior residents were the primary resectionists in approximately 75% of TURPs. The results of this review are compared with those of a 1974 study of 2223 patients. They indicated that TURP was a reasonably well-tolerated surgical procedure in the training environment and was associated with lower mortality and morbidity and a shorter hospital stay for the patient than in the 1974 study. The authors believe that with proper supervision and instruction, resident urologists can obtain satisfactory results while gaining competence and experience in performing TURPs.
Insights
Transurethral resection of the prostate (TURP) is a safe surgical procedure for training urologists. This study shows TURP in a teaching hospital had lower mortality and morbidity compared to an earlier study.
Area of Science:
- Urology
- Surgical Education
Background:
- Transurethral resection of the prostate (TURP) is a common surgical procedure.
- Assessing the safety and outcomes of TURP performed by residents is crucial for surgical training.
Purpose of the Study:
- To retrospectively review the outcomes of 1486 transurethral resections of the prostate (TURP) performed by senior residents.
- To compare the mortality, morbidity, and hospital stay of TURP procedures in a teaching hospital setting with a previous study from 1974.
Main Methods:
- Retrospective review of 1486 consecutive transurethral resections of the prostate (TURP) cases.
- Data collected from 1985 to 1987 at a teaching hospital.
- Comparison of outcomes with a 1974 study involving 2223 patients.
Main Results:
- The overall death rate for TURP was 0.8% in the reviewed period.
- TURP procedures performed by residents demonstrated lower mortality and morbidity rates.
- Patients experienced a shorter hospital stay compared to the 1974 study cohort.
Conclusions:
- Transurethral resection of the prostate (TURP) is a well-tolerated procedure in a training environment.
- Adequate supervision and instruction enable resident urologists to achieve satisfactory TURP outcomes.
- Resident training in TURP can lead to improved patient outcomes and shorter hospitalizations.