1982 Volume 73 Issue 10 Pages 1277-1288
We studied 114 patients with benign prostatic hyperplasia who underwent surgical treatment during the past 5 years starting from October 1976 to September 1981.
The ages of the 144 patients in the study ranged from 47 to 88 years with the most frequent age distribution in 70's and 60's in order of decreasing number.
Various surgeries were done in the 144 patients: suprapubic prostatectomy (SPP) in 88 patients, perineal prostatectomy in 1, cryosurgery in 5 and TUR in 50.
The average operation times were 107.3 and 94.5 minutes in SPP and TUR, respectively. The average blood loss during SPP was 457.7ml.
Acute epididymitis was the most frequent postoperative complication followed by intractable &/or febrile urinary tract infection. There was no postoperative death.
The average postoperative admission periods were 20.6, 35.8 and 15.1 days in SPP, cryosurgery and TUR, respectively.
The average weight of the resected adenoma was 40.6 and 6.8gm in SPP and TUR, respectively. The heaviest one weighing 535gm was excluded in this study. This is also the heaviest ever reported in Japan. There were 5 patients with the resected adenoma weighing more than 100gm. There was a tendency that the older the patient, the heavier the resected adenoma.
There was only one incidental carcinoma found in the resected adenoma in routine pathological examination (0.7%).
Four groups of operators consisting of Jr. Resident, Sr. Resident, Chief & Jr. Staff and Sr. Staff were compared regarding operation time, amount of blood loss, weight of the enucleated adenoma and amount of blood transfusion at open surgery. It was concluded that SPP could be properly done by the rotating Jr. Resident if assisted by the teaching staff during the surgery.
