恥骨上式前立腺摘出術に関する1考察

Abstract

本術式の自験89例を中心に検討した.術後の膿尿や血尿の持続時間と術前の尿路感染の有無との間には関連性を認めなかったが, 術後の膿尿の持続時間と摘出腺腫重量との間には相関関係が認められた.しかし, 血尿持続期間との間には関連性を認めなかった.恥骨後式前立腺摘出術に比較し, 本術式での術後の膿尿期間は遷延する傾向を示した.なお, 手術時間と術中出血量との間に相関関係が認められた

Suprapublic prostatectomies performed on 89 patients from January 1977 to December 1981 were retrospectively evaluated as regard to operative risk, preoperative and postoperative complications. The patients were from 56 to 87 years old with a peak distribution in the seventies. Common preoperative complications were urinary tract infection, coronary sclerosis followed by hypertension. The operation time for resection and weight of resected adenoma averaged 46.5 minutes and 35.1 g, respectively. Average blood loss during operation was 179 ml. The most frequent postoperative complication was acute epididymitis. There were no operative deaths. Prostatic incidental carcinoma was found in 3 cases of resected adenomas by histological examination. There were statistically significant correlations between adenoma weight and duration of postoperative urinary tract infection (r = 0.38, p less than 0.01) and between operation time and blood loss (r = 0.42, p less than 0.01). In contrast, preoperative urinary tract infection had no influenced on duration of postoperative urinary tract infection or postoperative gross hematuria.