As part of ongoing effort to evaluate alternative treatments for benign prostatic hyperplasia (BPH), we compared the outcomes of transurethral resection of prostate (TURP) with those of open prostatectomy (OP). To identify effect of TURP on high
mortality due to cardiac death, we compared long-term mortality and the causes of death after each surgical procedures. From Jan. 1981 to Dec. 1990, surgical management was underwent on 338 patients with BPH in Pusan National University Hospital.
Of 338
patients, survival was identified in 70 of OP group and 166 of TURP group. Direct interview was possible in 50 of OP group and 135 of TURP group. Mean age and follow-up were 69.8 years old and 89.5 months in OP group and 68.7 years old and 45.4
months
in TURP group. Both OP and TURP were effective in improving subjective voiding symptoms including comprehensive symptom and Boyarsky symptom score, but, no significant difference was observed between them. Postoperative convalescence period was
significantly shorter in TURP group compared to OP group. The incidence of sexual dysfunction including loss of libido and poor erection was similar between two surgical groups, but the incidence of retrograde ejaculation was higher in TURP group
than
OP group. Postoperative mortality and leading causes of death were no difference between two groups. Conclusively, we could not find the significant differences between OP group and TURP group as to symptom improvement, log-term mortality and
morbidity,
and effectiveness on patient´s consent. Although we confess that further evaluation is needed for precise and objective results, such results show postoperative improvement of voidng symtoms, quality of life and long-term outcomes that may not
depend on
surgical options.
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