Abstract
The number of very aged men who demand prostatectomy for benign disease is increasing.
We have assessed surgery results in 79 patients operated during the last four years. Sixty-two underwent endoscopic and 17 open procedure.
Mortality rate was 3.7%. Two patients died in the first week and one patient three weeks after surgery. Morbidity rate was 61% but did not significantly affect the final operative outcome. Operative success rate six weeks postoperatively was 87%, satisfactory for this age group. After detailed preoperative evaluation and postoperative care by specialized age care team, prostatectomy is safe, effective and involves low-cost treatment.
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References
Twinem, F. P.: The very aged prostate.J. Urol., 35, 349 (1936).
Lytton, B., Emery, J. M., Harvard, B. M.: The incidence of benign prostatic obstruction.J. Urol., 99, 639 (1968).
Wyatt, G. M., Stower, J. M., Smith, R. J. P., Roberts, M. B. J.: Prostatectomy in the over 80-year-old.Br. J. Urol., 64, 417 (1989).
Sheldon, A. C., Williams, D. R., Fraley, E. E.: Incidental carcinoma of the prostate: A review of the literature and critical reappraisal of classification.J. Urol., 124, 626 (1980).
Mebust, K., Holtgrewe, L. H., Cockett, K. T. A., Peters, C. P. and Writing Committee: Transurethral prostatectomy: Immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3885 patients.J. Urol., 141, 243 (1989).
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Perimenis, P., Athanasopoulos, A., Melekos, M. et al. Prostatectomy in the very aged. International Urology and Nephrology 24, 403–407 (1992). https://doi.org/10.1007/BF02550634
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DOI: https://doi.org/10.1007/BF02550634