PMID: 15338673Sep 2, 2004Paper

Are indications for prostatectomy in octogenarians the same as for younger men?

International Urology and Nephrology
Andrei NaduAlexander Greenstein

Abstract

Prostatectomy for benign hypertrophy of the prostate is usually performed to alleviate lower urinary tract symptoms (LUTS). We assessed indications for and risks of prostatectomy in men 80 years of age and compared them to those for younger men in order to determine whether indications for prostatectomy in octogenarians are different than these for younger men. Medical records of 171 men comprised of 84 patients >80 years of age (mean 84.4) and 87 patients <65 years of age (mean 60.6) who underwent prostatectomy for benign prostate hypertrophy were reviewed. Data regarding indications for surgery, American Society of Anesthesiologists system grade, anesthesia and surgery performed, duration of hospitalization and intrahospital postoperative complications were obtained. The respective indications for surgery in the very elderly and younger patients were: urinary retention with indwelling catheter in 46 (55%) and 34 (39%) (p < 0.04), LUTS in 32 (38%) and 52 (59%) (p < 0.005), and gross hematuria in 6 (7%) and 1 (1.2%). Transurethral prostatectomy was performed in 47 elderly patients (56%) and in 30 young patients (34.5%). The other patients in each group underwent open (suprapubic prostatectomy) surgery. The overall complication ...Continue Reading

Citations

Sep 4, 2008·Current Urology Reports·Fadi Housami, Paul Abrams
Nov 28, 2009·The Urologic Clinics of North America·Robert F Donnell
Mar 21, 2013·BJU International·Chinedu O MmejeMitchell R Humphreys
Jul 6, 2016·International Neurourology Journal·Songzhe PiaoSeung-June Oh

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