Is follow-up necessary after transurethral resection of the prostate?
| Autor: | D.C. Hanbury, T.S. O'brien, David Cranston, J.M.T. Perkins |
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| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment Prostatic Hyperplasia MEDLINE Postal questionnaire Postoperative Complications Patient satisfaction Prostate Humans Medicine Aged Transurethral resection of the prostate Aged 80 and over Postoperative Care Prostatectomy medicine.diagnostic_test business.industry Middle Aged Surgery Endoscopy Treatment Outcome medicine.anatomical_structure Patient Satisfaction Prostatic surgery business Follow-Up Studies |
| Zdroj: | British Journal of Urology. 75:618-621 |
| ISSN: | 1464-410X 0007-1331 |
| Popis: | Objective To assess the necessity for routine out-patient review following transurethral resection of the prostate (TURP) for benign prostatic hypertrophy. Patients and methods One-hundred and two patients with histologically proven benign prostatic hypertrophy were prospectively reviewed as out-patients. The views of their general practitioners were established by postal questionnaire. Results At their first out-patient review 94 of 102 (92%) patients were discharged and only 2% (2/102) patients remained under review after 1 year. Apart from routine urine analysis, only four additional investigations were initiated at the routine clinical assessment. One patient was listed to undergo prostatic surgery again following the post-operative out-patient review. Over the next 16 months only three patients (3%) were re-referred with further urological problems. Confidence in a system without routine hospital outpatient review was expressed by 90% of general practitioners and 78% of patients. Conclusion Follow-up after TURP cannot be justified in terms of the perceived therapeutic benefit to patients. Patients should be discharged to the community and be assessed rapidly in out-patients if and when problems arise. |
| Databáze: | OpenAIRE |
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