Clinical Observation on Benign Prostatic Hyperplasia

Cho, Kang Seon; Min, Byung Kap

Abstract

A clinical observation was made on 127 cases of benign prostatic hyperplasia, admitted to the Department of Urology, Chonnam National University Hospital during the period from January 1970 to August 1979. The results are summarized as follows: 1. There was an increasing tendency of annual distribution from 5 patients in 1970 to 32 patients in 1978. 2. Most of the patients were in the 7th and 8th decades of life (89%) with a mean age of 71.4 years old. 3. Seventy four patients (58.3%) suffered from acute urinary retention prior to admission. 4. Pyuria was revealed in 32 cases (25.2%), hematuria it 84 cases (66.1%), and azotemia in 4O cases (31.5%). 5. Associated conditions present were cardiovascular in 26 cases, respiratory in 21 cases, urologic in 15 cases, and miscellaneous in 6 cases. The most common associated conditions were hypertension in 20 cases and pulmonary tuberculosis in 15 cases. 6. Management was done with retropubic combined prostatectomy (RCP) in 12 cases, TURP in 33 cases. suprapubic transvesical prostatectomy (STP) in 23 cases, cystomy in 7 cases, and indwelling catheterization in 24 cases. 7. Prostatectomy was not performed in 31 cases because of patient refusal (14 cases) and associated conditions (17 cases) 8. The mean operating time was 87.5 minutes for RCP, 92.2 minutes for STP and 52.7 minutes for TURP. 9. The mean weight of the removed tissue was 48gm for open prostatectomy and 6.8gm for TURP. 10. The mean volume of transfused blood was 267ml for RCP, 591ml for STP and l45ml for TURP. 11. The mean period of postoperation was lO.6days for RCP, 11.7 days for STP and 4.6 days for TURP 12. The mean period of postoperative hospitalization was 13.4 days for RCP, 14.5 days for STP and 7.8 days for STP 7.8 days for TURP. 13. RCP postoperative complications were delayed healing with suprapubic urine leakage in 5 cases rebleeding in 2 cases, and acute epididymitis in 2 cases. STP postoperative complications were death due to hemorrhagic shock in 1 case, delayed healing with urine leakage in 2 cases, rebleeding in 3 cases, and prolonged gross hematuria more than 2 weeks in 2 cases. TURP postoperative complications were inability to void after removal of the urethral catheter in 1 case. prolonged gross hematuria more than two weeks in 1 case, and rebleeding in 3 cases.