Prostatectomy: Patients' Perception and Long‐term Follow‐UP

Abstract

We have reviewed 500 consecutive prostatectomies with a follow-up period of between 5 and 8 years; 184 surviving patients were sent a questionnaire and patients with residual urinary symptoms were interviewed, examined and a flow rate was performed. The operative mortality rate was 0.5%. Patients who presented with retention of urine had a high mortality rate in the first 3 years after the operation. Thirty-six per cent of surviving patients with chronic retention and 24% of those who underwent elective prostatectomy had residual urinary symptoms at the time of the study. Of patients who were sexually active pre-operatively, 34% felt that the operation was responsible for a deterioration in their sex lives. The incidence of retrograde ejaculation was 93%. It was concluded that prostatectomy is a safe operation with good patient acceptability. Patients with symptoms of prostatism require careful evaluation before prostatectomy and sexually active patients should be warned of the risks of impotence and decreased satisfaction due to retrograde ejaculation.

Acute urinary retention increases the risk of complications after transurethral resection of the prostate: a population‐based study

“…Escalating postoperative complications and longer hospital stays in men with BPH who develop AUR have been reported [ 5 -7 ] . Patients who presented with AUR had a high mortality rate in the fi rst 3 years after prostatectomy [ 8 ] .…”

Clinical Response to Transurethral Microwave Thermotherapy Is Thermal Dose Dependent

“…Nevertheless, the indications, risks and benefits have recently been under close scrutiny [1][2][3][4], Although TURP is a successful operation for the great majority of patients, there is associated morbidity and a small failure rate which has prompted the search for alternative thera peutic modalities [2][3][4][5], Heating of the prostate has been advocated for many years, but only became practical with the application of benefit which has been claimed in non-randomized trials is presumed to be due to a cumulative effect from multi ple sessions of low temperature heating.…”

Benign Prostatic Hyperplasia: Surgical versus Nonsurgical Treatment

“…Bruskewitz et al [13] followed 84 patients for 3 years after transurethral resection of the prostate (TU RP) and found that 75% of the patients claimed to be improved, 18% complained of urge incontinence, and 33% of decreased or absent erection. Alarge retrospective intergroup study [14] revealed that the risk of having a repeat operation was three times higher in the TURP group than in the open surgery group; moreover, long-term, age-specific mortality was higher after TURP than after open surgery [14]. Although surgical treatment of BPH provides rea sonable symptomatic improvement, urologists should look more critically at the late functional outcome of their patients.…”