No abstract

Prostatectomy was performed on 39 patients with a history of one or more cerebrovascular accidents. Only 50% had a satisfactory result from the operation and 11.7% died within 3 months of surgery. While the age of the patient, the degree of neurological deficit at the time of operation and the indication for operation had some influence on the outcome, the site of the CVA and the period of time that had elapsed since the CVA seemed to have the greatest influence.

No abstract

Prostatectomy w a s performed on 39 patients with a history of one or more cerebrovascular accidents. Only 50% had a satisfactory result from the operation and 1 1.7% died within 3 months of surgery.While the age of the patient, the degree of neurological deficit at the time of operation and t h e indication for operation had some influence on t h e outcome, t h e site of the CVA and the period of time that had elapsed since t h e CVA seemed t o have t h e greatest influence.Prostatic obstruction and cerebrovascular accidents both increase in incidence with age, yet little attention has been paid to the results of prostatectomy after CVAs. Moisey and Rees (1978) reported that nearly 66% of their patients were incontinent after prostatectomy, but with aggressive bladder training the incidence was reduced to 27 yo, Cerebrovascular accidents interfere with the inhibitory effects of higher centres on the sacral micturition centre, causing detrusor hyperreflexia with frequency, urgency and incontinence.Since Moisey and Rees' results were much worse than those reported for prostatectomy on unselected patients, this study was undertaken to establish if it was possible t o improve the results by predicting which patients would have a poor outcome.