A Clinical Observation on the Benign Prostatic Hypertrophy

Hurh, Yong; Lee, Song Hak

Abstract

Two hundred and sixty-three patients over the age of 50 years who visited our clinic during 6 and a half years from April 1954 to September 1960 were clinically investigated for the initial study of the benign prostatic hypertrophy in Korea. Among these 263 cases 36 were diagnosed as the benign prostatic hypertrophy and 19 of them were hospitalized. Their ages ranged from 51 to 82 years. The average was 68 years. Their chief complaints were reasonable for B. P. H. and urinary symptoms appeared more commonly than those of non B. P. H. group. Eighty-eight and 0.6% of their prostates appeared to be more or less enlarged in size. None of them were considered to stay within normal limits. Residual urine was noted from 3-1,500 cc in 31 checked cases, the average 62cc. Their urethras were intact in 83% of the cases. Their endoscopic findings were corresponding to the signs suggesting prostatic hypertrophy, mainly prostatic compression sign to the bladder, elongation of the prostatic urethra, kissing or almost kissing of the lateral lobes, trabeculation and cellule formations in the bladder and inflammatory signs of the bladder. Treatments given to 19 hospitalized cases included 10 suprapubic prostatectomy, 1 transurethral resection, 1 suprapubic cystostomy, and conservative treatments for the remainders. In all the patients who had received the surgical interventions, smooth and voluntary urination was restored as of discharge. No follow-up study was fulfilled. Weight of the removed prostates were noted from 39.5 gm to 107gm, the average 61.3gm. By a transurethral resection 10.2gm of hypertrophied prostate was resected. Of complications of 19 hospitalized cases. cystitis was found as a top 68.4%. Not only urological diseases, bladder stones, epididymitis and diverticula of the bladder but also systemic diseases, hypertensive heart disease, asthma and arteriosclerosis were found though less frequent.