Transurethral resection of prostate (TURP) through the decades--a comparison of results over the last thirty years in a single institution in Asia.
BACKGROUND
This study was conducted to evaluate the results and complications of transurethral resection of prostate (TURP) over the last 30 years in our institution.


METHODS
This retrospective study encompasses 3 different eras: 168 patients in the late 70s, 175 patients in the late 80s and 283 patients in the late 90s. All the patients had at least 18 months of follow-up.


RESULTS
The mean age from the 1970s, the 1980s and 1999 were 68.8 years, 69.2 years and 69.4 years respectively. The proportion of patients operated on for acute retention fell from 78.6% (132) in the 1970s, to 54% (96) in the 1980s, and 43% (122) in 1999. The mean resection time was 44.8 minutes in 1989 and 41.8 minutes in 1999. The mean weight of prostate resected was 22.1 g in the 1970s, 24.2 g in 1989 and 22.2 g in 1999. 44% (74) required blood transfusion in the 1970s, with 11% (19) in 1989 and 4% (11) in 1999. There were 2 deaths (acute myocardial infarction and pneumonia) in the 1970s, 1 (pneumonia) in 1989 and no mortality in 1999. There were 4 patients with TURP syndrome in the 1970s, 3 in 1989 and 1 in 1999. The incidence of postoperative urinary tract infection (UTI) was 25% (42) in the 1970s, 16% (29) in 1989 and 6% (17) in 1999.


CONCLUSIONS
As expertise and experience in TURP progress, the complication rates fall, as evidenced by the lower rates of transfusion, TURP syndrome and postoperative UTI in the later series.
Lim
K B
KB
Department of Urology, Singapore General Hospital, Singapore. gurlkb@sgh.com.sg
Wong
M Y
MY
Foo
K T
KT
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D012846:Singapore; D013997:Time Factors; D020728:Transurethral Resection of Prostate / Q000009:adverse effects / Q000706:statistics & numerical data*; D016896:Treatment Outcome