Abstract
EFFECTIVENESS AND SAFETY OF TRANSURETHRAL RESECTION OF THE PROSTATE IN ELDERLY MEN

Ahmad Al-Hiari MD*, Mohammad Serhan MD, Abdallah Rabab’ah MD, Awad Ka’abneh MD, Muhannad Al-Naser MD, Ali Al-Asmar MD, Nizar Sa’aideh MD,
Ali Zraigat MD and Ashraf Al-Majali MD

ABSTRACT

Objectives: to assess the effectiveness and safety of transurethral resection of the prostate (TURP) in patients aged 80 years and above. Patients and methods: Retrospectively we reviewed the medical records of 213 patients aged 80 years and above who underwent TURP at our institution over a 10 year period. Results: patients age averaged 84 years, about 41% of patients underwent surgery due to bothersome lower urinary tract symptoms(LUTS), and 59% for retention, prostate size averaged 65ml, 92.5% of patients had one or more medical illnesses, 90.14% had benign post operative histopathology, 9.86% had prostate cancer, 9.4% of patients developed bleeding, 4.22% developed clot retention, 2.35% developed TUR syndrome, 2.82% developed urine retention, and 1.4% urinry incontinence. 75% of the patients were satisfied at 3 months. Conclusions: although it carries a slightly higher complication rate than in other age groups, TURP is both effective and safe in men over 80 years of age as most patients were satisfied with the outcome.

Keywords: .


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