Abstract
Twenty-one patients with benign prostatic hypertrophy (BPH), and a weight of transurethrally resected tissue exceeding 80 g (Group 1), were compared to a control group of 30 patients with a weight of resected tissue less than 80 g (Group 2) with regard to the peri-and postoperative course and the symptomatic and urodynamic results of surgery. All patients were followed 12 months postoperatively. In both groups more than 90% of the patients were satisfied with the result of the operation. However, the obstructive symptoms were better relieved than the irritative symptoms. The group who had large resections performed had a longer operating time and a greater perioperative blood loss than the group of minor resections. No differences were found with regard to other peri- or postoperative complications or subjective results. Transurethral resection is safe and efficient in treating BPH, also with very large prostates.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Affuso, P. S.: Transurethral prostatectomy: Analysis in community hospital.New Jersey Med., 82, 960 (1985).
Blandy, J. P.: Transurethral Resection. 2nd ed. Pitman Medical Publishing Co., London 1978, pp. 85–112.
Chilton, C. P., Morgan, R. J., Paris, A. M. I., Blandy, P. J.: A clinical evaluation of the prostate.Br. J. Urol., 50, 542 (1978).
Faber, J. E., Hansen, M., Genster, H. G.: Use of blood in transurethral prostatectomy—routine or selective cross matching.Scand. J. Urol. Nephrol., 104, 713 (1984).
Freyer, P. J.: A new method of performing prostatectomy.Lancet, 1, 774 (1900).
Garrelts, B. V.: Micturition in the normal males.Acta Chir. Scand., 114, 187 (1957).
Hassellund, S., Ystagaard, B.: Prostatic surgery.Tidsskr. Nor. Laegeforen, 31, 2220 (1985).
Lentz, H. C., Mebust, W. K., Foret, J. D., Melchior, J.: Urethral stricture following transurethal prostatectomy; review of 2223 resections.J. Urol., 177, 193 (1977).
Levin, K., Nyren, O., Pompeius, R.: Blood loss, tissue weight and operating time in transurethral prostatectomy.Scand. J. Urol. Nephrol., 15, 197 (1981).
Lytton, B., Emery, J. M., Havard, B. M.: The incidence of benign prostatic obstruction.J. Urol., 99, 639 (1968).
Madsen, P. O., Iversen, P.: A point system for selecting operative candidates. In F. Hinmann Jr. (ed.): Benign Prostatic Hypertrophy, 1st ed, Springer-Verlag, New York-Heidelberg-Berlin 1983, pp. 163–165.
Malmström, P.: Transurethral resection of the prostate.Läkartidn., 81, 2753 (1984).
Melchior, J., Valk, W. L., Foret, J. D., Mebust, W. K.: Transurethral prostatectomy. Computerized analysis of 2223 consecutive cases.J. Urol., 112, 634 (1974).
Meyhoff, H. H., Nordling, J., Hald, T.: Clinical evaluation of transurethral versus transvesical prostatectomy.Scand. J. Urol. Nephrol., 18, 201 (1984).
Meyhoff, H. H., Nordling, J., Hald, T.: Transurethral versus transvesical prostatectomy.Scand. J. Urol. Nephrol., 19, 85 (1985).
McCarthy, J. F.: A new apparatus for endoscopic plastic surgery of the prostate, diathermy and excision of vesical growths.J. Urol., 26, 695 (1931).
Rasmussen, F.: Weight loss of prostatic tissue during electroresection.Scand. J. Urol. Nephrol., 9, 214 (1975).
Singh, M., Tresidder, G. C., Blandy, J. P.: The evaluation of transurethral resection for benign enlargement of the prostate.Br. J. Urol., 45, 93 (1973).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Waaddegaard, P., Hansen, B.J., Christensen, S.W. et al. Transurethral Resection of very large prostates a retrospective study. International Urology and Nephrology 23, 245–250 (1991). https://doi.org/10.1007/BF02550419
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02550419