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Related Experiment Videos

Transurethral resection of large prostates

D Marsh, R H Whitaker

    British Medical Journal
    |April 28, 1979
    PubMed
    Summary

    Transurethral resection of the prostate is a safe procedure for larger prostates, comparable to open surgery. Outcomes for incontinence, infection, and stricture were similar, indicating its viability.

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    Area of Science:

    • Urology
    • Surgical Procedures
    • Geriatric Medicine

    Background:

    • Transurethral resection of the prostate (TURP) is a common procedure for benign prostatic hyperplasia.
    • Managing larger prostate resections presents unique surgical considerations.
    • Evaluating the safety and efficacy of TURP for larger prostates is crucial.

    Purpose of the Study:

    • To assess the safety and outcomes of transurethral resection of the prostate (TURP) in men with larger resected prostate weights.
    • To compare the complication rates of TURP for larger prostates with existing data from similar resections and open prostatectomies.

    Main Methods:

    • A cohort of 102 men (mean age 70) underwent transurethral resection of the prostate.
    • Prostate resected weights ranged from 40 to 152 g.
    • Postoperative outcomes including mortality, hospital stay, incontinence, infection, and stricture were recorded.

    Main Results:

    • Two deaths occurred in elderly, generally unfit patients (aged 85 and 92).
    • Average postoperative hospital stay was 8.3 days.
    • Rates of incontinence, infection, and stricture were comparable to other TURP series and open prostatectomies.

    Conclusions:

    • Transurethral resection of the prostate is a safe and acceptable alternative to open prostatectomy for larger prostates.
    • The procedure demonstrates favorable outcomes regarding major complications.
    • TURP offers a viable surgical option for a wider range of prostate sizes.

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