Clinical Observation on Benign Prostatic Hyperplasia

Min, Keun Sik; Lee, Min Sung

Abstract

A clinical observation was made on 136 cases of benign prostatic hyperplasia, admitted to the department of Urology, National Medical Center during the period from January 1970 to December 1981. The result are summarized as follows: 1. Incidence of benign prostatic hyperplasia was 6.1% to 2,226 total in-patients, 10.3% to 1,315 male in-patients and 23.3% to male in-patients 50 years old or more. 2. Majority of cases Was found in 7Ih and 8th decades (78.6%) with mean age of 68.9 years old. 3. Seventy one patients (52.2%) suffered from urinary retention prior to admission. 4. Mean interval elapsed from initial symptoms to visit was 26.8 months. 5. Method of operative treatment included 68 suprapubic prostatectomy, 10 retropubic prostatectomy and 5 T.U.R. 6. Mean weight of removed adenoma was 42.6 gm in suprapubic prostatectomy and 34.7 gm in retropubic prostatectomy. 7. Mean amount of blood transfusion was 700 ml in suprapubic prostatectomy, and 224 ml in retropubic prostatectomy. 8. Mean period of catheter drainage was 11.9 days in suprapubic prostatect0my, 13.3 days in retropubic prostatectomy and 5.4 days in T.U.R. 9. Mean duration of postoperative hospitalization was 17.8 days in suprapubic prostatectomy, 15.8 days in retropubic prostatectomy and 8 days in T.U.R. 10. Postoperative complications were delayed healing with suprapubic fistula, wound infection, prolonged bleeding 14 days or more, temporary incontinence, epididymitis, unable to void and pneumonia, in suprapubic prostatectomy and prolonged bleeding, wound infection, temporary incontinence and unable to void in retropubic prostatectomy.