title: Reoperation, myocardial infarction and mortality after transurethral and open prostatectomy: a nation-wide, long-term analysis of 23,123 cases.
abstract: OBJECTIVE
  To analyse long-term rates of reoperation, myocardial infarction and mortality after transurethral (TURP) and open prostatectomy (open PE) in a nation-wide analysis.
  
  
  METHODS
  Patients who underwent TURP (n=20,671) or open PE (n=2452) in Austria between 1992 and 1996 entered this study and were followed for up to 8 years. Actuarial cumulative incidences of reoperation (TURP, urethrotomy, bladder neck incision), myocardial infarction and death after 1, 5 and 8 years were calculated. Data were provided by the Austrian Health Institute (OBIG).
  
  
  RESULTS
  Actuarial cumulative incidences of a secondary TURP after primary TURP at 1, 5 and 8 years were 2.9%, 5.8% and 7.4%; the respective numbers after open PE 1.0%, 2.7% and 3.4%. The overall incidence of a secondary endourological procedure (TURP, urethrotomy, bladder neck incision) within 8 years was 14.7% after TURP and 9.5% after open PE. The 8 years incidence of myocardial infarction was identical after TURP (4.8%) and open PE (4.9%). In parallel, mortality rates at 90 days (TURP: 0.7%; open PE: 0.9%), one year (2.8% vs. 2.7%), 5 years (12.7% vs. 11.8%) and 8 years (20% vs. 20.9%) was identical after TURP and open PE.
  
  
  CONCLUSIONS
  This large-scale, contemporary, nation-wide analysis confirms the higher reoperation rate after TURP compared to open PE. We observed no excess risk of myocardial infarction or death after TURP compared to open PE.
authors.affiliation: Department of Urology and Andrology, Donauspital, Vienna, Austria.
authors.forename: Stephan
authors.initials: S
authors.lastname: Madersbacher
authors.forename: Jakob
authors.initials: J
authors.lastname: Lackner
authors.forename: Clemens
authors.initials: C
authors.lastname: Brössner
authors.forename: Michaela
authors.initials: M
authors.lastname: Röhlich
authors.forename: Igor
authors.initials: I
authors.lastname: Stancik
authors.forename: Manfred
authors.initials: M
authors.lastname: Willinger
authors.forename: Georg
authors.initials: G
authors.lastname: Schatzl
mesh_terms: D000206:Actuarial Analysis; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001317:Austria; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000209:etiology*; D011468:Prostatectomy / Q000009:adverse effects*; D012086:Reoperation; D012307:Risk Factors; D013997:Time Factors