[Complications of transurethral resection of the prostate: review of 408 cases].
Retrospective study conducted on 408 TUPRs performed in our centre over the time span 1985-1995. Patient's mean age was 68 (51-89) years. In 73% cases regional anaesthetics was used. Mean surgery duration (without anaesthetics) was 41 minutes for prostates under 60 g and 63 minutes for those over 60 g. 40.9% patients had in-dwelling urethral catheter. Early complications were seen in 19.6% patients, of which 9.6% were urinary infections, 4.6% major haematuria requiring transfusion of two or more units of packed blood cells and 12% relevant systemic complications. Overall mortality was 0.5% (2 patients). Late complications affected to 12.7% patients, which in 6.4% were urethral stenosis. Both mean hospital stay and mortality were low. We conclude that TUPR morbidity is not trivial, emphasizing the occurrence of urethral stenosis and urinary infection. In spite of the frequency of these complications, we believe this to be the choice procedure for most patients who require surgical treatment for benign prostate hyperplasia.
Gonzalvo Pérez
V
V
Servicio de Urología, Hospital Lluis Alcanyis, Xàtiva.
Polo Peris
A
A
Botella Almodovar
R
R
Canto Faubel
E
E
Gasso Matoses
M
M
Llopis Guixot
B
B
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011468:Prostatectomy / Q000009:adverse effects*; D012189:Retrospective Studies; D013997:Time Factors