Transcript Is transurethral resection of the prostate safe and effective in men

Is transurethral resection of the prostate safe
and effective in men aged over 80 years?
• Rahul Bhardwaj, Luke Forster, Michael Kimuli
and Sanjay Jain
• St James’ University Hospital, Leeds
Introduction
•Factors associated with increased TURP morbidity include resection times
exceeding 90mins, gland size more than 45g, AUR and age over 80 years
(Mebust et al, 1989, Gainsburg, 2008).
Objective
•To assess the safety and effectiveness of TURP in patients over 80 years old.
Method
•Evaluated men who had undergone TURP aged at least 80 years during a 36month period.
•Patient details were supplied by the coding department.
•Patient’s records were reviewed electronically using Patient Pathway Manager and
the result server.
Demographics
Results
Successful TWOC (%) 2 days
50
45
Total
AUR
40
LUTS
35
Total
AUR
LUTS
Complications over 36 months
Summary of outcomes at 4 weeks (%)
Conclusions
•
85% of patients voided successfully post-operatively.
•
0% 30-day mortality rate.
•
Morbidity rate of 29% comparable to “The National Prostatectomy
Audit” rate of 35%.
•
High rates of patient satisfaction: 62-73%.
•
Age itself is not a contraindication to TURP. Age and general health
don’t necessarily correlate.
•
Consideration of ASA is a better indicator of outcome (Kore &
Blacklock, 2000).