Transurethral resection for a large prostate--is it safe?
A retrospective self-audit exercise was undertaken on 47 men who underwent transurethral resection of the prostate and in whom the resected weight was 80 g or more. The operative mortality and morbidity rates were 6 and 55% respectively, being highest in the "very old and unfit" group (22 and 88%). The complication rate increased if the resected prostatic weight was 100 g or more, or if the resection time exceeded 75 min. It was concluded that careful selection of patients is necessary before undertaking TUR for a large gland.
Agarwal
M
M
Department of Urology, St Bartholomew's Hospital, Rochester.
Palmer
J H
JH
Mufti
G R
GR
D000368:Aged; D000369:Aged, 80 and over; D001803:Blood Transfusion; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D009929:Organ Size; D011183:Postoperative Complications / Q000401:mortality; D011467:Prostate / Q000473:pathology*; D011468:Prostatectomy / Q000009:adverse effects*; D011470:Prostatic Hyperplasia / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000209:etiology