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  • Title: Long-term morbidity and mortality of transurethral prostatectomy: a 10-year follow-up.
    Author: Varkarakis J, Bartsch G, Horninger W.
    Journal: Prostate; 2004 Feb 15; 58(3):248-51. PubMed ID: 14743463.
    Abstract:
    BACKGROUND: Long-term complication and reoperation rates in 1,211 patients undergoing TURP for symptomatic BPH between 1988 and 1991 were evaluated after a follow-up of at least 10 years. METHODS: Of the 1,211 patients who underwent TURP, 577 (47.6%) were available for follow-up. Long-term complications as well as reoperation rates were evaluated on the basis of a patient questionnaire or a physician interview. RESULTS: Repeat operation had to be performed in 35 patients (6%). TUR for bladder neck contracture had to be done in 14 patients (2.4%), while repeat TURP for BPH obstruction was required in 11 patients (1.9%). Finally, urethral strictures mandating surgical correction were present in 10 patients (1.7%). CONCLUSIONS: TURP is associated with low reoperation rates and therefore remains the gold standard in BPH therapy. Nevertheless, follow-up of these patients must be continued, as late complications requiring intervention may occur even after 10 years postoperatively.
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