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Transurethral Prostatotomy versus Transurethral Prostatectomy in Benign Prostatic Hypertrophy A Prospective Randomised Study
Author(s) -
NIELSEN H. O.
Publication year - 1988
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1988.tb06592.x
Subject(s) - medicine , muscle hypertrophy , urology , prospective cohort study , urinary flow , prostatectomy , surgery , urinary retention , prostate , cancer
Summary— Transurethral prostatotomy (TUT) in 24 patients was compared with transurethral prostatectomy (TUR) in 25 patients in a prospective randomised trial. All patients were aged 60 years or more and presented with symptomatic benign hypertrophy. One half of the patients had acute retention. Shorter operative time and less post‐operative bleeding were found in the TUT group, which included 3 failures. No difference was found in post‐operative duration of catheterisation or duration of hospitalisation. No significant differences were seen after 1 year's follow‐up in the number of patients with positive urinary culture or urinary flow rate. One patient in the TUT group had a recurrence of symptoms, thus giving a total of 4 failures and a success rate of 82%. One patient became incontinent after TU R and 4 developed a stricture. The success rate after TU R was 78%. It was concluded that TUT and TU R produce similar functional results in cases where the gland is not too large.