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Transurethral resection of large prostates
Abstract:
A total of 102 men (mean age 70) underwent transurethral resection of the prostate. The weight of the resected prostate ranged from 40 to 152 g. Two deaths occurred in patients aged 85 and 92 years, both of whom were generally unfit. The average postoperative stay in hospital was 8.3 days. The proportions of patients with incontinence, infection, and stricture were similar to those in other series of resections and open prostatectomies, suggesting that resection of the larger prostate is safe and an acceptable alternative to an open operation.
Insights
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.
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.