Mortality, Morbidity and Complications following Transurethral Resection of the Prostate for Benign Prostatic Hypertrophy

Abstract

A total of 388 men undergoing transurethral resection of the prostate for benign prostatic hypertrophy during 1988 entered a prospective cohort study designed to examine the outcome of surgery during postoperative year 1. Self-administered questionnaires were completed preoperatively, and at 3, 6 and 12 months postoperatively. The surgeons completed 1 questionnaire shortly after surgery and another questionnaire 3, 6 or 12 months later. The mortality rate during the 12 months of followup was 2.8% (11 deaths). The surgeons reported perioperative complications in 14% of the patients and immediate postoperative complications, excluding urinary tract infections, in 17%. During the first 3 months postoperatively 38% of the patients reported incontinence and 25% had a urinary tract infection. Between 6 and 12 months postoperatively only 12% of the patients were troubled by either condition. The postoperative prevalence of impotence (24%) did not alter during followup and was similar to that reported preoperatively (22%). Of the patients 74% reported feeling better and 78% experienced a decrease in the overall level of symptoms postoperatively. The improvement in symptom levels was greatest in those with the most severe preoperative symptoms, and obstructive symptoms were alleviated slightly more than irritative symptoms.

Acute urinary retention increases the risk of complications after transurethral resection of the prostate: a population‐based study

“…Nonetheless, the overall post-TURP UTI rate reported in the literature was < 5%, except for 25% in Doll et al . [ 15 ] . Both Pickard et al .…”

“…[ 16 ] , and 38% in Doll et al . [ 15 ] . The different defi nition of LUTS used in the present study may account for the discrepancy between incontinence rates and the aforementioned studies.…”

Initial human clinical experience with diode laser interstitial treatment of benign prostatic hyperplasia

“…[4][5][6]25,26 In addition, some of the newer modalities were designed to treat the increasing number of high-risk patients.7,8 Al though all procedures claim to be minimally in vasive, the actual degree of invasiveness varies widely. Drug treatment is close to watchful wait ing,26 whereas contact laser vaporization21 and electrovaporization27,28 may be seen as modified TURPs that cause minimal bleeding.…”

Gyrus™ bipolar electrovaporization vs transurethral resection of the prostate: a randomized prospective single-blind trial with 1 y follow-up

“…However, perioperative electrolyte disturbances (TUR syndrome) and haemorrhage are recognized complications. 1 Furthermore, TURP systems utilize monopolar electrical currents that can cause nervous stimulation and, in rare circumstances, burns and problems with cardiac pacemakers. In addition, monopolar systems are not efficient for simultaneously cutting and coagulating prostatic tissue.…”