Clinical Observation on Benign Prostatic Hypertrophy

Kim, Jin Il; Chai, Soo Eung

Abstract

A clinical observation was made on thirty-seven cases of benign prostatic hypertropby, admitted to the Department of Urology, Kyung Hee University Hospital during the period from January 1, 1972 to December 31, 1976. The results are summarized as follows. 1. Incidence of benign prostatic hypertrophy was 6.1 % to 607 total in-patients, 8.2% to 453 male in-patients, and 38.5% to male in-patients 50 years old or more. 2. Majority of cases was found in 7th and 8th decades(89%) with mean age of 70.4 years old. 3. Mean interval elapsed from initial symptoms to visit was 3.9 years. 4. Common symptoms were frequency in 31 cases(83. 8%). dyeuria in 27 cases(73%), retention in 25 cases(67. 6%), small urinary stream in 19 cases(51%) and hematuria is 15 cases(14%) 5. Endoscopy was performed in 31 cases. The most common finding was trabeculation and cellulation observed in 31 cases(91%), kissing of lateral lobes in 22 cases(65%), elevation of interureteric ridge in 15 cases(44%) and enlarged median lobe in 6 cases(17. 6%). 6. Amount of residual urine from 0 to 900ml with average of 207 ml. 7. Occult prostatic carcinoma was found in 3 cases(9.4%). 8. I.V.P. was performed in 35 cases. Findings included hydronephrosis in 3 cases, delayed excretion in 1 case, but normal in 31 cases. 9. Methods of operative treatment included 15 retropubic prostatectomy, 11 suprapubic prostatectomy, 6 T.U.R. 10. Mean weight of removed adenoma were 36.3 gm in retropubic prostatectomy, 41.7 gm in suprapubic prostatectomy, 12.9 gm in T.U.R. 11. Mean amount of blood transfusion was 609 ml in retropubic prostatectomy, 786 ml in suprapubic prostatectomy, but there was no transfusion in T.U.R. 12. Mean period of catheter drainage was 7.1 days in retropubic prostatectomy, 7.2 days in suprapubic prostatectomy, 5.6 days in T.U.R. 13. Mean duration of postoperative hospitalization was 10.3 days in retropubic prostatectomy, 13.7 days in suprapubic prostatectomy, 3.3 days in T.U.R. 14. Postoperative complications were urinary infection in 21 cases(65. 6%), temporary urine leakage in 6 cases, delayed bleeding in 2 cases and gastrointestinal bleeding in 1 case.