The Incidence of Benign Prostatic Obstruction

International prostate symptom score - IPSS - AUA as discriminat scale in 400 male patients with lower urinary tract symptoms (LUTS)

“…In the meanwhile symptomatic voiding disturbances related to infravesical obstruction are a much less frequent complaint (1). Notably surgical therapy is intended to relief the symptoms and complaints in case there is urodynamically proven urethral obstruction (2).…”

Mortality and Morbidity of Prostatectomy How Far Does Preselection and Pre-Operative Care Influence the Result?

“…For example, Mebust et al [5] taking results of over 3,000 prostatectomies from 13 selected North American centres gave a mortal ity rate of only 0.1 %, and showed that death rates can be kept low even in the highest-risk groups. Lytton et al [1] reported a peri-operative mortality rate in excess of 10% in elderly patients, Sach and Marshall [10] 5%, and in the series of Singh et al [3] 7.4% of patients over 80 years with severe cardiorespiratory disease died. The mortality was reduced to 2.1% in a series of patients older than 80 years [6] in which 96 % of the operations were endoscopic.…”

“…However, 12 (9%) ASA 4 cases were excluded from surgery. It is concluded that with careful assessment, patients who are old and medically com promised can undergo prostatectomy safely, but one has to identify accurately those unsuitable for surgery and offer alternative treatment.Men in their mature years knowing the future of a 1 in 10 chance of prostatectomy [ 1 ] have been reassured that the operation now carries little risk to life, and the majority will be able to undergo the surgery by a trans urethral approach with only a short postoperative hospi tal stay. However, the population is ageing progressively and a stage is reached in many, when inevitable medical disabilities, particularly of the cardiovascular and pul monary systems, will create a risk to life.…”

Transurethral Microwave Therapy: Patient Selection and Outcome

“…Prostatism is common with up to 10% of men in their 40s undergoing transurethral prostatectomy (TURP) at some time [1,2], TURP is the gold standard treatment, but up to a quarter of men fail to improve with surgery [3][4][5], and in the long term about 20% require a second operation [6], Postoperative complications are not un common and include incontinence, urinary tract infec tion [7] and disturbance in sexual function with impo tence rates of up to 25% and retrograde ejaculation in and a specially designed urethral microwave catheter then passed. This is a solid 18-ch Silastic catheter with an integral microwave antenna but no drainage or irrigation channels.…”