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Related Experiment Videos

Transurethral resection for a large prostate--is it safe?

M Agarwal1, J H Palmer, G R Mufti

  • 1Department of Urology, St Bartholomew's Hospital, Rochester.

British Journal of Urology
|September 1, 1993
PubMed
Summary
This summary is machine-generated.

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Transurethral resection of the prostate (TURP) for large glands (≥80g) carries significant risks. Patient selection is crucial, especially for older, unfit individuals, to mitigate high mortality and morbidity rates.

Area of Science:

  • Urology
  • Surgical Outcomes
  • Patient Safety

Background:

  • Transurethral resection of the prostate (TURP) is a common procedure for benign prostatic hyperplasia.
  • Large prostate glands present unique surgical challenges and potential risks.

Purpose of the Study:

  • To evaluate the outcomes of TURP in men with large resected prostatic weights (≥80g).
  • To identify risk factors associated with increased mortality and morbidity in this patient group.

Main Methods:

  • Retrospective self-audit of 47 men undergoing TURP with resected prostate weight ≥80g.
  • Analysis of operative mortality, morbidity, and complication rates.
  • Stratification of outcomes based on patient age/fitness and procedural factors.

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Main Results:

  • Overall operative mortality was 6% and morbidity was 55%.
  • The

Conclusions:

  • Careful patient selection is essential for TURP of large prostates.
  • Higher complication rates are linked to resected weights ≥100g and resection times >75 minutes.
  • TURP in very old and unfit patients is associated with substantially increased risks.