title: [Morbi-mortality of transurethral resection of the prostate in patients aged 75 and over].
abstract: BACKGROUND
  Monopolar transurethral resection of the prostate is one of standard surgical treatment of benign prostatic hyperplasia. The objective of this study was to evaluate early postoperative complications in patients aged 75 years old and more using a standardized classification.
  
  
  METHODS
  We included all patients aged at least 75 on the day of surgery between 1 January 2008 and 31 December 2013. The reporting of complications was carried from the Clavien-Dindo classification.
  
  
  RESULTS
  One hundred and seventy-six patients were included in this study. A total of 47.2% of patients experienced at least one complication. The majority of patients (79.5%) had complications grade 1 or 2 according to Clavien-Dindo classification. One patient died postoperatively at day 27. Most complications were urological (55%). A high Charlson score and low plasma hemoglobin levels have been identified as a risk factor for complications.
  
  
  CONCLUSIONS
  Monopolar transurethral resection of the prostate is followed by significant morbidity in older patients, higher than in the general population.
  
  
  METHODS
  4.
authors.affiliation: Service urologie, hôpital Saint-Louis, 1, avenue Claude-Velfaux, 75010 Paris, France. Electronic address: p.l.evrard@wanadoo.fr.
authors.forename: P-L
authors.initials: PL
authors.lastname: Evrard
authors.affiliation: Service urologie, hôpital Saint-Louis, 1, avenue Claude-Velfaux, 75010 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Mongiat-Artus
authors.affiliation: Service urologie, hôpital Saint-Louis, 1, avenue Claude-Velfaux, 75010 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Desgrandchamps
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D005602:France / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007297:Inpatients / Q000706:statistics & numerical data*; D008297:Male; D011470:Prostatic Hyperplasia / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D012307:Risk Factors; D016019:Survival Analysis; D020728:Transurethral Resection of Prostate / Q000009:adverse effects / Q000401:mortality*; D016896:Treatment Outcome
keywords: Benign prostatic hyperplasia; Complications; Hypertrophie bénigne de la prostate; Résection trans-urétrale de la prostate; Transurethral resection of prostate; Uro-geriatrics; Uro-gériatrie