The Role of Transurethral Surgery

Abstract

313 TURP were performed at the four institutions (University Departments of Padua and Brescia and Hospital Departments of Treviso and Bergamo) between 1987 and 1990. 85% of patients with obstructive prostatic hypertrophy underwent TURP. A metallic sheath (24–25ch.) was routinely used, while Iglesias or Reuter Trocar were chosen in a few selected cases. 200 patients (50 from each institution) operated in 1989 were evaluated: detrusor contractility, deficiency and irritative symptoms (urgency-frequency) were also Present in 22% of patients. Follow up shows that procedures to remove the obstruction do not always cure irritative symptoms. No major complications or deaths are reported. 55 Patients (80%) were treated endoscopically for bladder stones and 5 patients (28%) underwent TURP followed by surgical diverticulectomy. BPH and superficial bladder tumors, when present together, are preferably treated separately to avoid neoplastic contamination of the prostatic fossa.