Complications of transurethral prostatectomy

Kim, Tae Jin; Suh, Jun Kyu; Kim, Young Soo; Park, Tong Choon

Abstract

A clinical observation was made on the 22l consecutive patients who had underwent transurethral resection of the prostate(TURP) between Jan. 1984. and Dec. 1989 in the Department of Urology, Yeungnam University Hospital focussing on immediate and delayed complications. The operation was done by 3 urologists(P. K. S). The mean resection time of all patients was 98 minutes between 1984 and 1986(n=83) and 74 minutes between 1987 and 1989(n=138). The mean weight of resected prostatic tissue was 15.0 gm between 1984 and 1986 and 17.9 gm between l987 and 1989.The most common immediate complication was voiding difficulty (7.2%), the remainders were in order of nonspecific sepsis (3.2%), delayed bleeding (3.2%), bleeding requiring T-U fulguration tl.8%), post-TUR syndrome (1.4%) and epididymitis (1.4%). The immediate postoperative morbidity was 18.2% and risk factors for immediate morbidity after TURP were age than TO years. associated neurogenic bladder and prostatic cancer on biopsy. The most common delayed complication was obstruction requiring TURP(2.3%), the remainders were in order of urethral stricture(1.8%). urinary incontinence(0.9%), pulmonary embolism(0.9%), deep vein thrombosis(0.9%). The delayed morbidity was 6.8% and the only risk factor for delayed morbidity after TURP was resection time longer than 90 minutes. There were no deaths within 3 months of surgery, but operative morbidity rate still remains significantly high. Careful attention to surgical details and indications is needed to reduce the amount and significance of the postoperative morbidity.