Clinical Observation of the Transurethral Surgery

Chang, Sung Goo; Kim, Tai Chin

Abstract

A clinical observation was made on 352 cases of transurethral surgery performed in the Department of Urology, Kyung Hee University hospital during the period from January 1, 1974 to June 30, 1980 The following results were obtained. 1) Among total 2980 endoscopically examined patients, transurethral surgery was performed on 352 cases (11.8%). 2) During the period, of 1220 patients operated, 352 patients were performed transurethral surgery, giving a rate 28.85% 3) The age was ranged from 3 to 85 years old and most favorable age was in 40 to 49 years old in 23.59%, The sex ratio, male to female, was 2:1. 4) The common diseases were ureter stone 101 cases (28.69), female chronic urethritis 75 cases(21.3%), bladder tumor 71 cases (20.17%), B.P.H. 36 cases (10.2%), bladder neck contracture 11 cases (5.7%) and bladder stones 11 cases (5.11%). 5) The common surgical procedure were T.U.R. 121 cases (34.37%), stone basket manipulation 101 cases (28.69%), transurethral electrofulguration 93 cases (26.42%), and litholapaxy 18 cases (5.11%). 6) Average operation time was 45.2 minutes. 7) Average duration of hospital stay after operation was 8.6 days. 8) The anesthetic methods were general 144 cases, spinal 132 cases, sedation and local anesthesia 76 cases. 9) The success rate of stone basket was 55%. 10) The post-operative complications were listed as: delayed bleeding (3 cases), hemolysis(1 case), acute epididymitis (1 case), acute pyelonephritis (1 case), severe urinary tract infection (1 case) and upward migration of the ureter stone (1 case).