Clinical Observation on Benign Prostatic Hypertrophy

So, Jin Chang; Choi, Il Yup

Abstract

A clinical observation was made on forty-three cases of benign prostatic hypertrophy, admitted to the Department of Urology, National Seoul Hospital during the period from January 1, 1977 to December 31, 1980. The results were summerized as follows. 1. The incidence of benign prostatic hypertrophy was 10.9% to 396 total in-patients and 34.4% to male in-patients 50 years old or more. 2. Most of patients were in the 7th and 8th decades of life (83.7%) with a mean age of 73.5 years old. 3. The mean average hospital period was 12.4 days. 4. The mean period passed away from initial symptoms to visit was 2.8 years. Common symptoms and signs were frequency in 35 cases (81.4%), dysuria with small stream in 25 cases (58.1%), acute urinary retention in 23 cases (53.5%) and lower abdominal fulling sense and discomfortness in 13 cases (3.2%). 5. The mean volume of residual urine was 430ml. 6. Hematuria it 28cases (65.1%) and pyuria was revealed in 12 cases (27.9%). 7. I.V.P was performed in 34 cases and hydronephrosis was found in 5 cases (14.7%) and hydroureter in 4 cases (11.8%). Cystourethrography was performed in 31 cases, and elevated bladder base in 23 cases (74.2%) and trabeculation of bladder in 21 cases (67.7%). 8. Endoscopy was performed in 32 cases, The common findings were trabeculation in 28 cases (87.5%) and inflammations in 25 cases(78.1%). 9. Associated conditions with B.P.H. were hypertension in 6 cases (14.0%) and pulmonary tuberculosis in 5 cases (16.1%). 10. Management was done with retropubic prostatectomy in 16 cases, transurethral prostatectomy in 3 cases and suprapubic transvesical prostatectomy in 3 cases. 11. The mean weight of the removed adenoma was 34.2gm. 12. The mean duration of the indwelling catheter was 8.2 days. 13. The mean amount of transfused blood was 1. 78 pints. 14. Postoperative complications were urinary infection in lt cases (63.6%), temporary incontinence in 12cases (54.5%), epididymitis in 3 cases (13.6%), urethral stricture and rebleeding in each 2 cages (9.1%), delayed wound healing and pyrexia in each 1 case (4.5%). The mortality rate was 0%.