Clinical observation of transurethral prostatectomy

Hwang, Seong Un; Park, Jae Shin

Abstract

A clinical observation was made on the 204 consecutive patients who had underwent transurethral resection of the prostate(TURP) between Jan. 1987 and Dec. 1992 focusing on uroflowmetry and complications. The uroflowmetries using flow rate nomogram were performed on 75 patients preoperatively and postoperatively. The preoperative maximum flow rats was 9.6+/-4.9 ml/sec(-2.5 SD) and postoperative maximum flow rate was 18.1+/-8.7 ml/sec (-1.0 SD). Uroflowmetry was convenient and helpful to evaluate the results after TURP. Early complications were voiding difficulty(7.8%), delayed bleeding(4.4%), bleeding requiring transurethral fulguration(2.0%), TUR syndrome(2.0%) and epididymitis(1.0%). The early postoperative morbidity was 16.2% and risk factors for early morbidity were resection time longer than 90 minutes, age more than 80 years. associated neurogenic bladder and prostatic cancer on biopsy. Delayed complications were urethral stricture(3.5%), urinary incontinence(2.0%), and obstruction requiring re-TURP(1.5%). Delayed morbidity was 6.9% and the only risk factor for delayed morbidity was resection time longer than 90 minutes. Careful attention to risk factors and surgical details is needed to reduce the amountand significance of the postoperative morbidity.