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KMID : 0358319810220050383
Korean Journal of Urology
1981 Volume.22 No. 5 p.383 ~ p.390
Clinical Observation of Transurethral Prostatectemy
¼ÛÀ縸/Song JM
¿ÕÁ¾¼ø/Wang CS
Abstract
"Hospital charts of all patients undergoing transurethral resection of the prostate between 1977 and 1979 were reviewed and evaluated. This comprised a 2 1/2 year period and involved 88 cases. The results were as follows: 1. Transurethral prostatectomy was performed on 76 cases of benign prostatic hypertrophy, 9 cases of prostatic carcinoma and 3 cases of chronic prostatitis. 2. Average age of all patients was 65.1 years and the group of seventh decade was most common (51 per cent). 3. Only in 18 cases residual urine volume recorded at the time of catheterization ranged from 150 to 1900cc, the average being 430cc. 4. Cardiovascular abnormalities were most common (27 per cent) among the associated diseases and azotemia was seen in 10 cases (11 per cent) 5. Epidural anesthesia was used in 58 per cent of the cases and spinal anesthesia was performed in 14 per cent. 6. Of the 88 patients 61 underwent percutaneous was ligation and vasectomy was done in 22 cases. 7. Average length of resection was 84.4 minutes and cases that extended beyond 150 minutes were 3. g. Used irrigating solution was 1. 1 per cent Glycine in all operation except 8 cases and average amount was 17.8 litres. 9. Eighty-nine per cent of all resections were less than 20 grams and average weight of tissue resected was 10.8 grams. 10. In 27 patients (31per cent) blood was given on the day of the operation and preoperative blood transfusion was given in 2 patients because of marked anemia. 11. A foley catheter remained indwelling for 3 or 4 days usually and patients were discharged usually 7 or 8 days postoperatively. 12. Postoperative complications were as follows; bleeding(12 per cent), incontinence(7 per cent), extravasation(3 per cent), fluid absorption toxicity(3 per cent), pyelonephritis (3 per cent), epididymitis(2 per cent), etc. One patient was dead due to myocardial infarction postoperatively."
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