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Related Experiment Videos

Age as a prognostic variable in patients undergoing transurethral prostatectomy

J Krogh1, J S Jensen, H G Iversen

  • 1Department of Urology, Hvidovre Hospital, University of Copenhagen, Denmark.

Scandinavian Journal of Urology and Nephrology
|January 1, 1993
PubMed
Summary

Transurethral prostatectomy (TURP) for benign prostatic hyperplasia (BPH) is safe for elderly patients over 80. While complications occurred, age itself did not significantly impact outcomes or long-term results.

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Area of Science:

  • Urology
  • Geriatric Medicine
  • Surgical Outcomes

Background:

  • Benign prostatic hyperplasia (BPH) is a common condition in aging men.
  • Transurethral prostatectomy (TURP) is a standard surgical treatment for BPH.
  • Outcomes of TURP in elderly patients (over 80) require specific evaluation.

Purpose of the Study:

  • To compare the outcomes of TURP for BPH in patients over 80 years old versus a younger control group.
  • To assess the influence of advanced age on surgical complications, morbidity, and mortality.
  • To determine if age alone is a significant predictor of TURP outcomes.

Main Methods:

  • Retrospective study design.
  • Comparison of patients >80 years old undergoing TURP with a younger control cohort.

Related Experiment Videos

  • Analysis of tissue resected, preoperative infections, urological complications, and perioperative mortality.

    • Main Results:

    • Elderly patients had more tissue resected and higher rates of preoperative urinary tract infection.
    • While elderly patients experienced more urological complications, these were transient and did not affect overall outcomes.
    • Perioperative mortality was 3.2% in the elderly group versus 0% in the younger group.
    • Cardiorespiratory risk scores were ineffective in predicting at-risk patients.

    Conclusions:

    • Age per se does not significantly influence the outcome of TURP for BPH.
    • TURP can be considered a safe procedure for carefully selected elderly patients.
    • Further research may explore predictive factors beyond age and standard risk scores.