CLINICAL STUDIES ON THE SURGICAL TREATMENT OF BENIGN PROSTATIC HYPERTROPHY DURING THE PAST 10 YEARS

Abstract

From May 1974 to Feb. 1984, 290 patients with benign prostate hypertrophy (abbreviated as BPH) underwent surgery at the St. Marianna University School of Medicine.
The method of surgery consisted of transurethral resection (abbreviated as TUR) in 192 cases, open prostatectomy in 54 cases and cryosurgery in 44 cases. Average postoperative catheter indwelling periods and the hospitalization days were 5 and 15 days for the TUR group, 10 and 28 days for the open prostatectomy group and 15 and 38 days for the cryosurgery group, respectively.
The operative complication was high in the open prostatectomy group. The cryosurgery group required reoperation frequently.
The TUR method had least postoperative complications, shortest catheter indwelling periods and shortest hospitalization days.
The TUR method can be recommended on patients with BPH unless the prostate is too big for complete resection on which case open prostatectomy is indicated.
Although cryosurgery was applied relatively frequently in the early few years, we had abandoned crysurgery because of the poor postoperative results.