Clinical Observation and Comparison Between the Results of Transurethral Resection and Open Prostatectomy on the Benign Prostatic Hypertrophy

Cho, Yon Surp; Park, Heung Won

Abstract

The results of the transurethral resection and open prostatectomy undergone on 87 cases of the benign prostatic hypertrophy from January 1980 to July l986 were reviewed and compared. The following results were obtained. l. TURP was performed in 52 cases of the benign prostatic hypertrophy and open prostatectomy in 35 cases. 2. Mean operation time was shorter in TURP than in open prostatectomy (77.7min. in TURP, 123.3 min. in open prostatectomy). 3. Mean weight of the resected tissue was 7.9gm in TURP and 37.3gm in open prostatectomy. 4. Mean amount of the transfused blood was 51ml in TURP and 627ml in open prostatectomy, and blood transfusion in TURP was required only in a few cases (7.7%). S. Mean duration of the postoperative catheter indwelling was shorter in TURP than in open prostatectomy(6.1 days in TURP, 11.1 days in open prostatectomy). 6. Mean duration of the postoperative hospital stay in TURP was shorter than in open prostatectomy (8.7 days in TURP, l5.4 days in open prostatectomy). 7. Most frequent complications were transient urinary incontinence and rebleeding, and their incidences were slightly higher in open prostatectomy than in TURP.