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 Prostate Cancer (combined with hormonal therapy)  Bladder Neck Contracture. (rare)[r]

(1)

3/3/2014

1

Transurethral Resection of the Prostate in BMH

Department Of Surgery Urology Session

BMH

 TURP Performed since 2003 in

BMH

 Standard TURP is still an unique

method

For endoscopic prostatic treatment in our

hospital now

 Modern surgical modalities will be

(2)

3/3/2014

2 Surgical procedure of

choice in men with

symptomatic bladder outlet obstruction secondary to:

 Benign Prostatic Hyperplasia (the most)

 Prostate Cancer (combined with hormonal therapy)  Bladder Neck Contracture

(rare)

PATIENTS

 More than 300 patients with

symptomes of urinary obstuction each year examined

in BMH

 About a half of the amount need

operation

for resolving lower urinary tract problems

(3)

3/3/2014

3

Characteristic Of BPH Patients

 Age: 50 – 93 (average 72)  Volum: 18 – 114 g (avg 58 )  Severity: 85% with high IPSS  Additional diseases: heart 10.5%,

lung 2.5%, primary/secondary renal failure 2%, others 16%

TURP Complications

 In-operative Bleeding: 5.5 %  Post-operative Bleeding: 3%  TUR Syndrome: 2.5%

(4)

3/3/2014

4

OUTCOME

 Good: 76.5%  Average: 20.5%

 Bad: 3% (including one

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