Transurethral resection of very large prostates. A retrospective study.
Twenty-one patients with benign prostatic hypertrophy (BPH), and a weight of transurethrally resected tissue exceeding 80 g (Group 1), were compared to a control group of 30 patients with a weight of resected tissue less than 80 g (Group 2) with regard to the peri- and postoperative course and the symptomatic and urodynamic results of surgery. All patients were followed 12 months postoperatively. In both groups more than 90% of the patients were satisfied with the results of the operation. However, the obstructive symptoms were better relieved than the irritative symptoms. The group who had large resections performed had a longer operating time and a greater perioperative blood loss than the group of minor resections. No differences were found with regard to other peri- or postoperative complications or subjective results. Transurethral resection is safe and efficient in treating BPH, also with very large prostates.
Waaddegaard
P
P
Department of Urology, Hvidovre Hospital, University of Copenhagen, Denmark.
Hansen
B J
BJ
Christensen
S W
SW
Andersen
J T
JT
Iversen-Hansen
R
R
Iversen
H G
HG
D000368:Aged; D016063:Blood Loss, Surgical; D003258:Consumer Behavior; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D011467:Prostate / Q000473:pathology*; D011468:Prostatectomy; D011470:Prostatic Hyperplasia / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D016055:Urinary Retention / Q000453:epidemiology; D014563:Urodynamics / Q000502:physiology