Transurethral Prostatectomy by a Novice Resectionist

Yoo, Tag Keun

Abstract

To evaluate the results of transurethral resection of prostate (TURP) by a novice resectionist, a clinical study was made on the 106 patients who have undergone TURP for three years. The incidence of TURP commanded 20% of total major procedures, the patients in their seventies were the most common age group, and the most frequent indication was urinary retention (51% ). The average weight of resected tissue was 15.1+/-11.9gm, and the resection time. 73.5+/-34.3 minutes. The morbidity rate of immediate complications was 14.2% and that of postoperative complications, 26.4%. To make a comparison. I divided all 106 cases into 3 groups according to their operation date. Between group I (No. 1-No. 35) and group II (No. 36-No. 70), significant statistical differences were noted in the average weight of resected tissue per minute and in the amount of transfused packed RBC. Between group II and group II (No. 7l-No. 106), there was a significant decrease in the incidence of immediate complications. This study leads to the fact that TURP, one of the most common urologic operations. can be executed adequately by a novice resectionist after 70 procedures approximately. In order to reduce complications and the time required for novice resectionists to be experts, we need various efforts including improvement of educational equipments and TUR instruments.