[Transurethral resection of the prostate in the treatment of benign prostatic hyperplasia]. 2001

A Bardos, and M Hornak, and V Novotny
Department of Urology, Faculty of Medicine, Comenius University, Derer's University Hospital, Bratislava, Slovakia.

OBJECTIVE Transurethral resection of the prostate (TURP) represents a method of choice in surgical treatment of benign prostatic hyperplasia (BPH). The objective of this prospective study was to evaluate TURP mortality and morbidity rates. METHODS In 1998 184 patients with lower urinary tract symptoms (LUTS) indicating the presence of BPH underwent one of the following surgeries: TURP 149 (81%), transurethral incision of the prostate 19 (10.3%), and open surgery (suprapubic transvesical prostatectomy) 16 (8.7%). From the group of 149 patients treated by TURP the following patients were withdrawn from the study: 7 (4.7%) patients with a finding of incidental carcinoma of the prostate and 14 (9.4%) patients who did not attend the postoperative follow-ups. RESULTS 64 (50%) patients were treated for LUTS syndrome before TURP. TURP was applied in 69 (53.9%) cases for absolute indications. During the surgery and within one year after it, no mortality was recorded. Complications during the surgery were present in 13 (10.2%) patients, and within 24 h after the surgery in 38 (29.7%) patients. Early postoperative complications (up to 4 postoperative weeks) were recorded in 49 (38.3%) patients. Late postoperative complications within 3 month after the surgery occurred in 16 (12.5%) patients, within 6 months in 17 (13.3%) patients, and after 12 months in 17 (13.3%) patients. CONCLUSIONS Although complications occur almost in 58% of patients, TURP still represents the standard treatment of LUTS indicating the presence of BPH. (Tab. 5, Fig. 2, Ref. 15.).

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D011468 Prostatectomy Complete or partial surgical removal of the prostate. Three primary approaches are commonly employed: suprapubic - removal through an incision above the pubis and through the urinary bladder; retropubic - as for suprapubic but without entering the urinary bladder; and transurethral (TRANSURETHRAL RESECTION OF PROSTATE). Prostatectomy, Retropubic,Prostatectomy, Suprapubic,Prostatectomies,Prostatectomies, Retropubic,Prostatectomies, Suprapubic,Retropubic Prostatectomies,Retropubic Prostatectomy,Suprapubic Prostatectomies,Suprapubic Prostatectomy
D011470 Prostatic Hyperplasia Increase in constituent cells in the PROSTATE, leading to enlargement of the organ (hypertrophy) and adverse impact on the lower urinary tract function. This can be caused by increased rate of cell proliferation, reduced rate of cell death, or both. Adenoma, Prostatic,Benign Prostatic Hyperplasia,Prostatic Adenoma,Prostatic Hyperplasia, Benign,Prostatic Hypertrophy,Prostatic Hypertrophy, Benign,Adenomas, Prostatic,Benign Prostatic Hyperplasias,Benign Prostatic Hypertrophy,Hyperplasia, Benign Prostatic,Hyperplasia, Prostatic,Hyperplasias, Benign Prostatic,Hypertrophies, Prostatic,Hypertrophy, Benign Prostatic,Hypertrophy, Prostatic,Prostatic Adenomas,Prostatic Hyperplasias, Benign,Prostatic Hypertrophies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D020728 Transurethral Resection of Prostate Removal of all or part of the PROSTATE, often using a cystoscope and/or resectoscope passed through the URETHRA. Contact Laser Ablation of Prostate,Prostatectomy, Transurethral,TURP,TUVP,Transurethral Electroresection of Prostate,Transurethral Electrovaporization of Prostate,Transurethral Microwave Thermotherapy,Transurethral Needle Ablation of Prostate,Transurethral Radiofrequency Thermal Ablation,Transurethral Thermotherapy,Transurethral Ultrasound-Guided Laser-Induced Prostatectomy,Transurethral Vaporesection of Prostate,Transurethral Visual Laser Ablation of Prostate,VLAP,Transurethral Prostate Resection,Microwave Thermotherapy, Transurethral,Prostate Resection, Transurethral,Prostate Resections, Transurethral,Prostate Transurethral Electroresection,Prostate Transurethral Electroresections,Prostate Transurethral Electrovaporization,Prostate Transurethral Electrovaporizations,Prostate Transurethral Resection,Prostate Transurethral Resections,Prostate Transurethral Vaporesection,Prostate Transurethral Vaporesections,Prostatectomies, Transurethral,Resection, Transurethral Prostate,Resections, Transurethral Prostate,TURPs,Thermotherapies, Transurethral,Thermotherapy, Transurethral,Thermotherapy, Transurethral Microwave,Transurethral Prostate Resections,Transurethral Prostatectomies,Transurethral Prostatectomy,Transurethral Thermotherapies,Transurethral Ultrasound Guided Laser Induced Prostatectomy

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