Is transurethral resection of the prostate safe and effective in the over 80-year-old?
Is transurethral resection of the prostate safe and effective in the over 80-year-old?
复制标题
80岁以上老人经尿道前列腺电切术安全有效吗？
DOI：
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复制
发表时间：
2001
影响因子：
1.4
通讯作者：
NW Harrison
中科院分区：
文献类型：
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作者：
RD Brierly;A. Mostafid;D. Kontothanassis;PJ Thomas;MS Fletcher;NW Harrison
目标
评估 80 岁以上患者经尿道前列腺电切术 (TURP) 的安全性和有效性。
患者和方法
回顾性研究了 3.5 年内在一个机构接受 TURP 的所有 80 岁以上患者的记录。
结果
31% 的患者因症状而接受 TURP，68% 的患者因尿潴留而接受 TURP。早期并发症发生率为41%。晚期并发症发生率为22%。手术后30天内无死亡病例。在所有患者中，80% 对手术结果感到满意。在所有保留的患者中，80% 的患者在术后 6 周时能够以少量残余量排尿。
结论
尽管 80 岁以上男性的 TURP 与显着的发病率相关，但它是治疗尿路症状或尿潴留的有效方法。大多数患者术后能够排尿并对手术结果感到满意。
OBJECTIVE
To assess the safety and effectiveness of transurethral resection of the prostate (TURP) in patients over 80 years old.
PATIENTS AND METHODS
The records of all patients over 80 years old undergoing TURP at one institution over a 3.5-year period were studied retrospectively.
RESULTS
31% of patients underwent TURP for symptoms and 68% for urinary retention. The early complication rate was 41%. The late complication rate was 22%. There were no deaths within 30 days of surgery. Of all patients, 80% were satisfied with the outcome of their operation. Of all patients with retention, 80% were able to void with small residual volumes by 6 weeks after operation.
CONCLUSIONS
Although TURP in the over 80-year-old male is associated with significant morbidity, it is an effective treatment for urinary symptoms or retention. The majority of patients are able to void afterwards and are satisfied with the outcome of their surgery.