Transurethral resection of the prostate in 539 patients at a district general hospital.
This study audited length of hospital stay, mortality and morbidity associated with transurethral resection of the prostate (TURP) in a district general hospital over a 4-year period between 1990 and 1993. Five hundred and thirty-nine TURPs (409 benign and 130 malignant; median age 69 years) were carried out, which represented a twofold increase over the 4-year period. Although the mean duration of stay was 5 days, 92.5% of patients had a hospital stay of less than 7 days. One (0.2%) death occurred in a patient with ischaemic heart disease on the first postoperative day. The commonest cause of morbidity and delayed discharge from hospital was presence of outflow symptoms in nine (1.7%) patients. Transurethral resection of the prostate is a safe procedure in an ever-increasing elderly population with concomitant medical illness, but improved identification of 'at-risk' patients is required in order to further lower the morbidity associated with this procedure.
Kubba
A K
AK
Department of Surgery, St John's Hospital at Howden, Livingston, UK.
Greig
J D
JD
Wallace
I W
IW
D000368:Aged; D006767:Hospitals, District; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D009017:Morbidity; D011183:Postoperative Complications / Q000453:epidemiology*; D011468:Prostatectomy / Q000706:statistics & numerical data*; D011470:Prostatic Hyperplasia / Q000453:epidemiology / Q000601:surgery*; D011471:Prostatic Neoplasms / Q000453:epidemiology / Q000601:surgery*; D012307:Risk Factors; D012606:Scotland / Q000453:epidemiology