European Journal of Biomedical and Pharmaceutical Sciences

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.

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