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Long‐term morbidity and mortality of transurethral prostatectomy: A 10‐year follow‐up
Author(s) -
Varkarakis John,
Bartsch Georg,
Horninger Wolfgang
Publication year - 2003
Publication title -
the prostate
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.295
H-Index - 123
eISSN - 1097-0045
pISSN - 0270-4137
DOI - 10.1002/pros.10339
Subject(s) - medicine , prostatectomy , urology , term (time) , prostate disease , urethra , prostate , surgery , cancer , physics , quantum mechanics
BACKGROUND Long‐term complication and reoperation rates in 1,211 patients undergoing TURP for symptomatic BPH between 1988 and 1991 were evaluated after a follow‐up of at least 10 years. METHODS Of the 1,211 patients who underwent TURP, 577 (47.6%) were available for follow‐up. Long‐term complications as well as reoperation rates were evaluated on the basis of a patient questionnaire or a physician interview. RESULTS Repeat operation had to be performed in 35 patients (6%). TUR for bladder neck contracture had to be done in 14 patients (2.4%), while repeat TURP for BPH obstruction was required in 11 patients (1.9%). Finally, urethral strictures mandating surgical correction were present in 10 patients (1.7%). CONCLUSIONS TURP is associated with low reoperation rates and therefore remains the gold standard in BPH therapy. Nevertheless, follow‐up of these patients must be continued, as late complications requiring intervention may occur even after 10 years postoperatively. © 2003 Wiley‐Liss, Inc.