[The estimation of the degree of surgical risk in patients with prostatic adenoma]

Based on the authors' personal experience of surgical treatment of prostate adenoma an assessment has been carried out of general status and degree of operation-related risk using a simplified "acute physiologic scale" the total score of which is the sum 13 of easily identifiable vital physiologic or biochemical parameters. The assessment is performed by 4-score scheme, with prognosis of lethality being given depending on values obtained. Radical adenomectomy was found out to be indicated in those patients in whom the total score did not exceed 5; electroresection (transurethral or transvesical) can be recommended in those patients having the total score under 11. The score above 11 necessitates cystostomy (including the trochar one) or else indwelling catheter is supposed to be inserted.