| Autor: |
Michael Lotterstätter, Stephan Seklehner, Florian Wimpissinger, Jozsef Gombos, Jasmin Bektic, Philipp Stolzlechner, Sarah Laimer, Thomas R. W. Herrmann, Stephan Madersbacher, Lukas Lusuardi, Manuela Sieberer, Christian Ramesmayer |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
World journal of urology. 40(12) |
| ISSN: |
1433-8726 |
| Popis: |
Purpose To determine the safety and efficacy of transurethral resection of the prostate (TUR-P) in patients 85 years or older. Methods In this retrospective, multicentre study, patients equal or older than 85 years at the time of surgery (2015–2020) were included. Several pre-, peri- and postoperative parameters were collected. The main outcome criterion was spontaneous voiding with a post-void residual (PVR) volume Results One hundred sixty-eight patients (median age: 87 years, interquartile range [IQR]: 86–89) were recruited. The patients took on average 5.2 permanent medications (3–8), 107 (64%) were anticoagulated preoperatively and neurological co-morbidities were present in 29 (17%). The indication for surgery was recurrent urinary retention in 66.3% (n = 110) with a mean retention volume of 849 ml. The mean PVR volume of the remaining 35% was 146 ml. Surgery was successfully completed in all patients. A perioperative surgical revision had to be performed in 3% and 13 patients (7.7%) required blood transfusion. After catheter removal, 85% of patients were able to void spontaneously with a PVR p = 0.005). Conclusion This retrospective multicentre study documents the safety and efficacy of TURP (monopolar and bipolar) in the old-old cohort. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink