Benign Prostatic Hyperplasia: A Comparative Study of Transurethral Resection and Open Surgery

Kim, Woo Il; Kim, Ju Hong; Yoon, Sang Min

Abstract

The results of 114 transurethral resection of the benign prostatic hyperplasia were compared with that of 41 open surgery from the period of January 1988 to June 1993. In a review of the medical history, 70.2% of the patients subjected to TUR and 63.4% of the patients subjected to open surgery were associated with one or more other systemic diseases. 17.5% of the patients in TUR and 19.5% of the patients in open surgery were associated genitourinary diseases. On the basis of the systemic disease in the anesthetic records, patients were classified according to wide variety of risk strata. Postoperative complication rate in cases of with or without anesthetic risk was 48.3 % and 43.5% in TUR, and 87.1 % and 80.0% in open surgery respectively. There seemed to be no relation between anesthetic risk and complication. The mean operation time was shorter in the patients subjected TUR than the patients subjected to open surgery. The mean duration of the postoperative catheterization and hospitalization were shorter in the patients with TUR than compared to the patients with open surgery Total complication rate was significantly lower in TUR than open surgery( 47.4% in TUR. 85.4% in open surgery). Mean weight of resected prostate was heavier in open surgery than TUR. The urinary retention necessitating reoperation was 3.5% in TUR. Pre- and postoperative mean maximum flow rates were 8.6+/-2.6 and 17.2+/-6.7ml/sec in TUR, and 8.4+/-3.2 and 18.2+/-6.7ml/sec in open surgery. Pre- and postoperative mean Boyarsky symptoms score were 15.27 and 7.43 in TUR, and 15.52 and 7.67 in open surgery. The results of mean maximum flow rates and mean Boyarsky symptoms score were same in the patients with TUR and open surgery.