title: Effect of ageing on the efficacy efficiency of TUVRP.
abstract: BACKGROUND
  To evaluate the effect of ageing on the efficacy of transurethral vaporization resection of the prostate (TUVRP).
  
  
  METHODS
  The clinical outcomes of 285 patients treated by TUVRP were retrospectively analyzed. Patients were divided into three groups by age, Group A with 91 patients less than ≤70 years of age, Group B with 127 patients from 71 to 79 years of age, and Group C with 67 patients greater than ≥80 years of age.
  
  
  RESULTS
  Prostate volume was 53.1 ± 24.1 ml in Group A, 67.8 ± 39.7 ml in Group B and 60.0 ± 43.9 ml in Group C (p < 0.001). More co-existent systemic diseases were identified in Group C than in the other two groups (p < 0.001). American Society of Anesthesiologists (ASA) grade increased with age (p < 0.001). Urological comorbidities associated with BPH, operating time, IPSS score, and QOL index were not different among the three groups. A significant difference was observed in before and after surgery IPSS score, QOL index, and maximum urinary flow rate (Qmax), in all three groups (p < 0.05). Post-operative Qmax decreased with age (p < 0.05).
  
  
  CONCLUSIONS
  TUVRP was safe and effective for the patients greater than 80 years of age, similarly to younger patients. Advanced aged was not a contraindication for surgery, and did not increase the difficulty of the procedure.
authors.affiliation: Department of Urology, Yangpu District Central Hospital of Shanghai, Yangpu Hospital, Tongji University, Shanghai, China. li121288@yahoo.com.cn
authors.forename: Aihua
authors.initials: A
authors.lastname: Li
authors.forename: Honghai
authors.initials: H
authors.lastname: Lu
authors.forename: Sikuan
authors.initials: S
authors.lastname: Liu
authors.forename: Feng
authors.initials: F
authors.lastname: Zhang
authors.forename: Xiaoqiang
authors.initials: X
authors.lastname: Qian
authors.forename: Hui
authors.initials: H
authors.lastname: Wang
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D002681:China; D004598:Electrosurgery / Q000379:methods; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D061214:Patient Safety; D011467:Prostate / Q000503:physiopathology / Q000601:surgery; D012189:Retrospective Studies; D020728:Transurethral Resection of Prostate / Q000379:methods*