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Is transurethral resection of the prostate safe and effective in men aged over 80 years?

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

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Is transurethral resection of the prostate safe and effective in men aged over 80 years?

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  1. 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

  2. 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 36-month period. • Patient details were supplied by the coding department. • Patient’s records were reviewed electronically using Patient Pathway Manager and the result server. Demographics

  3. Results Summary of outcomes at 4 weeks (%) Complications over 36 months

  4. 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).

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