Indications for Prostatectomy in the Treatment of Benign Hyperplasia of the Prostate

Abstract

Six hundred and forty patients with benign hyperplasia of the prostate (BPH) were admitted to our department the last 20 years before we started to perform transurethral resection of the prostate (TURP). Sixty per cent of these patients had various degrees of impairment of the renal function, 45% had an abnormal electrocardiogram. Three hundred and ninety-four patients (61.6%) underwent open prostatectomy, four of these died of urinary tract infection postoperatively and another four of severely impaired renal function.

Four hundred and thirty-six patients with BPH have been treated at our department during the 5 years since we started to do TURP in 1985. Sixteen per cent had reduced renal function and 25% abnormal electrocardiogram. Three hundred and eighty-seven patients (89%) underwent prostatic surgery, 324 of them (74.3%) TURP. Two patients died of cerebral complications after TURP.

Our conclusion is that if patients with BPH are operated at an early stage, their kidneys will not deteriorate and they will not develop severe heart diseases.

Key words:

• Hyperplasia of the prostate
• operative indications
• prostatectomy