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Does old age contraindicate TURP

J Balslev Jørgensen1, C Seidelin, F Petersen

  • 1Department of Urology H, Gentofte Hospital, University of Copenhagen, Denmark.

European Urology
|January 1, 1997
PubMed
Summary
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Transurethral prostatic resection (TURP) can benefit elderly men over 80 years old. Careful patient selection is crucial for positive outcomes in treating lower urinary tract symptoms (LUTS).

Area of Science:

  • Geriatric Urology
  • Surgical Oncology
  • Urologic Oncology

Background:

  • Lower urinary tract symptoms (LUTS) significantly impact quality of life in elderly men.
  • Transurethral prostatic resection (TURP) is a common treatment for benign prostatic hyperplasia (BPH).
  • The safety and efficacy of TURP in very elderly patients (over 80) require further investigation.

Purpose of the Study:

  • To evaluate the prognostic role of advanced age on survival outcomes following TURP.
  • To assess the benefits and risks of TURP in men over 80 years old with LUTS.

Main Methods:

  • Retrospective study of men over 80 years old treated for LUTS.
  • Comparison of survival rates between patients who underwent TURP and those who did not (too ill for surgery or declined treatment).

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  • Survival analysis compared to the age-matched general population.
  • Main Results:

    • A significantly higher initial mortality was observed in the TURP group compared to the background population.
    • Twelve patients (4.8%) died within 30 days post-operation, primarily those with severe preoperative comorbidity.
    • Most patients (97/249) experienced resolution of chronic retention, with only 17 requiring a catheter at discharge.

    Conclusions:

    • TURP offers significant survival benefits for carefully selected elderly men (over 80) with LUTS.
    • Patient selection, considering preoperative comorbidity, is paramount for successful TURP outcomes in this age group.
    • TURP can be a safe and effective treatment option for very old men when indications are appropriate.