A clinical observation was made on 48 cases of benign prostatic hyperplasia, admitted during the period from January 1975 to June 1981 were studied clinically in the Department of Urology, Seoul Adventist Hospital. The results are summarized as follows.
1. The incidence of benign prostatic hyperplasia was 5.88% of total in-partients (1,227) and there was an increasing tendency of annual distribution from 3 patients (3.89%) in 1975 to 10 patients (11.62%) in June 1981.
2. The youngest age was 50 and the oldest 83. The mean age of 48 cases was 69.65 years and the seventh decade was most prevalent (54.17%).
3. The presenting symptoms of 48 cases, 43 cases (89.6%) were dysuria, 32 cases (66.7%) were acute urinary retention, 5 cases (52.1%) were frequency, 22 cases (45.8%) were hematuria, 17 cases (35.4%) were lower abdominal pain, 6 cases (12.5%) were pyuria, 5 cases (10.4%) were incontinence and 3 cases (6.3%) were nocturia.
4. The mean duration of symptom was 2.28 years. 5. The mean volume of residual urine was 502 ml.
6. Pyuria revealed in 28 cases (58.3%), Hematuria in 39 cases (81.3%), Culture positive in 24 cases (50.0%), Azotemia in 9 cases (18.8%).
7. Performed I.V.P. in all cases, and hydronephrosis was found in 7 cases (14.6%).
8. Performed endoscopy in all cases, and most common finding was trabeculation (81.3%).
9. Associated diseases present were cardiovascular in 5 cases, respiratory in 6 cases, gastrointestinal tract in 7 cases, urologic in 18 cases, and miscellaneous in 7 cases.
10. The mean weight of resected prostatic tissue was 9.75 gm.
11. The mean period of urethral catheter drainage was 6.5 days.
12. The mean period of postoperative gross hematuria was 5.25 days.
13. The mean period of postoperative hospitalization was 7.83 days.
14. Postoperative complications were cystitis in 22 cases (45%), temporary incontinence in 8 cases (16.7%), epididymitis in 3 cases (6.3%), delayed bleeding in 3 cases (6.3%), urethral strictures, vesical hematoma and delayed wound healing in each 2 cases (each 4.2%) and pyrexia in 1 case (2.1%).
15. Retrograde urethrography was performed on postoperatively about 1 month later. The mean length of the prostatic urethra was 5.72 cm preoperative, postoperative length was shortened to 4.77 cm.
Key Word : transurethral resection
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