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Transvesical prostatectomy in elderly patients

Z Luttwak1, D Lask, J Abarbanel

  • 1Department of Urology, Rabin Medical Center, Petah Tikva, Israel.

The Journal of Urology
|June 1, 1997
PubMed
Summary
This summary is machine-generated.

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Transvesical prostatectomy is a safe procedure for men over 80, showing low complication rates. This open prostatectomy technique effectively treats conditions like urinary retention and large prostates in elderly patients.

Area of Science:

  • Urology
  • Geriatric Surgery

Background:

  • Transvesical prostatectomy is a surgical option for benign prostatic hyperplasia.
  • Elderly patients often present with complex urological conditions requiring surgical intervention.

Purpose of the Study:

  • To assess the outcomes of transvesical prostatectomy in patients aged 80 years and older.
  • To evaluate the safety and morbidity associated with this procedure in a geriatric population.

Main Methods:

  • A retrospective chart review of 98 patients (80-90 years old) who underwent transvesical prostatectomy between 1986 and 1993.
  • Inclusion criteria included large prostate size, significant cystolithiasis, or bladder diverticulum, necessitating open prostatectomy.

Main Results:

  • Common indications included urinary retention (54%), obstructive symptoms (18.4%), and cystolithiasis (17.3%).

Related Experiment Videos

  • Comorbidities were frequent (70.6%), with ischemic heart disease (42%) being most prevalent.
  • No postoperative deaths or life-threatening complications occurred; immediate complications included UTI (20.5%) and wound infection (3.0%).

    • Conclusions:

    • Transvesical prostatectomy can be safely performed in elderly patients.
    • The procedure demonstrates a low morbidity rate, even in patients with significant comorbidities and complex urological issues.