A Clinical Observation on Benign Prostatic Hypertrophy

Noh, Sio Gyun; Kim, Ho Sung

Abstract

A clinical study was made on 73 cases of benign prostatic hypertrophy admitted to the Dept. of Urology, Chosun University Hospital during the period from Jan. 1977 to Dec. 1981. The results were as follows: 1. The admission rate was 8.5%, 73 cases of all 856 cases hospitalized. 2. The patient age ranged from 49 to 90 years, with a mean of 71.6 years and the seventh decade (45.2%) was most frequent. 3. The mean duration of the symptom was 32.8 months, with a range of 15 days to 15 years. The presenting symptom in 61 cases (83.6%) were frequency, in 52 cases (71.2%) dysuria, in 43 cases (58.9%) acute onset of urinary retention etc. 4. The urinalysis revealed hematuria in 38 cases and pyuria in 33 cases and the blood chemistry showed elevated BUN in 21 cases and elevated creatinine in 14 cases. 5. The endoscopic examination performed in 60 cases revealed trabeculation in 52 cases (86.7%), kissing of lateral lobes in 47 cases (78.3%) and enlarged median lobe in 34 cases (56.7%) etc. 6. The surgical treatment was performed in 35 cases of total 73 cases, of which suprapubic prostatectomy was underwent in 27 cases and T.U.R. in 8 cases. 7. The mean amount of blood transfusion was 1.7 pints in the suprapubic prostatectomy and 0.4 pints in the T.U.R. The mean weight of removed prostatic tissue was 33.6gm. in the suprapubic prostatectomy and 4.3gm. in the T.U.R. 8. The duration of postoperative catheter drainage averaged 13.3 days in the suprapubic prostatectomy and4.5 days in the T.U.R. 9. The complications of prostatectomy were temporary incontinence in 12 cases (34.3%), delayed hematuria in 8 cases (22.9%), acute epididymitis in 4 cases (11.4%), wound infection in 3 cases (8.6%) and inability to void in one case (2.9%).