[Morbidity of endoscopic prostatic resection: 3-month prospective study. Practical Urology Club].
OBJECTIVE
To quantify the complications of TUR of prostate occurring during the first three post-operative months.


METHODS
Multicentric cooperative study where skilled urologists, aged between 45 and 55 years old, with various practice settings, compile complications in their consecutive patients undergoing TURP between March and June 1996. 410 patients have been assessed by 17 urologists.


RESULTS
Rate of intraoperative complications is low with 10 patients being transfused and 3 TUR syndromes being observed. Two deaths occurred in patients aged 84 and 92 years-old at post-op day 27 and 30 respectively. Twenty four percent of patients experienced at least one complication during the observation period, the most frequent of which was asymptomatic bacteriuria in 8.5%. Urethral--mainly meatal--stenosis was the main cause for the readmission/reintervention rate (6.5%).


CONCLUSIONS
Early morbidity/mortality of TURP for BPH albeit real, occurs in a small percentage of patients, with a general mild intensity. Alongside with excellent objective and subjective outcome, these rates allow TUR of prostate to remain the gold-standard treatment for BPH.
Fourcade
R O
RO
Service d'Urologie, Centre Hospitalier, Auxerre, France.
Vallancien
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D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000628:therapy; D011446:Prospective Studies; D011468:Prostatectomy / Q000009:adverse effects*; D013997:Time Factors