Lb. Ilkjaer et al., OUTCOME OF TRANSURETHRAL PROSTATECTOMY IN MEN OVER 80 YEARS, Scandinavian journal of urology and nephrology, 32(4), 1998, pp. 270-272
Two-hundred-and-twenty-nine men aged between 80 and 97 years (mean 83
years) underwent transurethral prostatectomy (TUR-P) for lower urinary
tract symptoms (LUTS). All case records were reviewed. The follow-up
period was 6-16 years. One-hundred-and-seven patients underwent operat
ion because of acute urinary retention, and 122 because of chronic ret
ention. The mean weight of tissue removed was 20 g (1-200 g), The peri
operative mortality (<1 month) was 2% (5 patients). Postoperative comp
lications occurred in 21% (49 patients). Reoperation was performed in
11% (26 cases). The result was considered satisfactory in 196 patients
(86%). The present data demonstrate that transurethral resection of t
he prostate in men over SO years has a good outcome with an acceptable
urological complication rate and mortality, and we therefore advocate
surgery instead of watchful waiting in the fit patient.