ABSTRACT
Benign prostatic hyperplasia (BPH) is a progressive disease that affects the quality rather than the quantity of life of men. There are two methods of surgical treatment of BPH: transurethral resection of the prostate (TURP) and open prostatectomy. In this study we investigated the safety and efficacy of TURP for large prostate glands. To analyze our clinical data we can conclude introduction of technological innovations, especially of "low pressure" TURP, have made it possible to perform TURP for large prostates so safely as for recommended volumes. Also our trial has demonstrated that complications after TURP were within admissible limits of standard TURP. Therefore, TURP can be considered as an effective and safe procedure for patients with large prostate glands.
Subject(s)
Prostatic Hyperplasia/pathology , Prostatic Hyperplasia/surgery , Transurethral Resection of Prostate/methods , Aged , Aged, 80 and over , Humans , Male , Middle AgedABSTRACT
A total of 231 patients undergoing transurethral resection combined with intravesical chemotherapy were examined for incidence of vesical tumor relapses. Some patients were subjected only to transurethral resection (Group I), those had the resection followed by intravesical adriamycin (Group II), those underwent the resection followed by thiophosphamide chemical prevention (Group III), and those had surgeries after intravesical chemotherapy (Group IV). The incidence of the relapses was 44, 43.1, 29.6, and 52.9%, respectively. The incidence of relapses was examined in relation to the type, malignancy, and multiple foci of the tumor.
Subject(s)
Carcinoma, Squamous Cell/epidemiology , Carcinoma, Transitional Cell/epidemiology , Neoplasm Recurrence, Local/epidemiology , Papilloma/epidemiology , Urinary Bladder Neoplasms/epidemiology , Administration, Intravesical , Adult , Aged , Aged, 80 and over , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Carcinoma, Squamous Cell/therapy , Carcinoma, Transitional Cell/therapy , Combined Modality Therapy , Humans , Incidence , Middle Aged , Neoplasm Recurrence, Local/therapy , Papilloma/therapy , Postoperative Care , Reoperation , Urinary Bladder Neoplasms/therapyABSTRACT
The paper presents the analysis of 255 patients aged 39-89 yrs who sustained transurethral resection of prostatic adenoma between 1985 and 1988. The choice of the surgery technique depended on the direction of adenoma growth the weight of its tissue and the presence of associated diseases of the lower urinary tract. At present, the allowable weight of the removed tumor is increased from 30 to 60 g while the mean operation time is decreased from 50 +/- 10 to 35 +/- 5 minutes. The authors arrived at the conclusion that the aforementioned technique was of high performance and low-rate traumatism, thus widening the limits of the disease surgical treatment, decreasing the incidence of early (13.7 per cent) and late (2.7 per cent) complications and death rates (1.9 per cent). Besides, the duration of postsurgical hospital stay decreased (5 +/- 1.5 days in noncomplicated cases and 12 +/- 3 days in complicated ones).
