Clinical Observation on Transurethral Resection of Prostate and Suprapubic Prostatectomy for Benign Prostatic Hypertrophy

Moon, Moo Sung

Abstract

Operations for benign prostatic hypertrophy was done on 48 cases during the last 3 years, 18 cases on suprapubic prostatectomy and 30 cases on transurethral of the resection prostate. A clinical comparative investigation was made between the suprapubic prostatectomy group and transurethral resection of the prostate group on the operation time, blood loss during or after the operation, the excised prostatic tissue weights , the duration of urethral catheter indwelling, the duration of hospitalization, complications, and the kinds or volume of irrigating solutions. The results were followed as; 1. The mean operation time was 89 minutes in transurethral resection of the prostate and 140 minutes in suprapubic prostatectomy. 2. The mean duration of the urethral catheter indwelling was 4 days in transurethral resection of the prostate and 6 days in suprapubic prostatectomy. The mean duration of hospitalization was 6 days in suprapubic prostatectomy. 3. Transfusion was done in 33.3% of transurethral resection of the prostate and 83.3% of suprapubic prostatectomy during or after the operation. The mean amount of trans fused blood was 1.4 pints in transurethral resection of the pro state and 3.7 pints in suprapubic prostatectomy. 4. Complication rates during the hospitalization was 26.7% in transurethral resection of the prostate and 38.9% in suprapubic prostatectomy. 5. The mean weights of excised tissue was 10.7gm. in transurethral resection of the prostate and 42.9gm. in suprapubic prostatectomy. 6. The mean amount of irrigating solution was 24,000cc in transurethral resection of the prostate.