Mudd D G, Deans G T, Lee B G
Waveney Hospital, Ballymena, UK.
J R Coll Surg Edinb. 1990 Dec;35(6):365-8.
In order to monitor the safety and efficacy of a new service for transurethral prostatectomy, an audit was performed, prospectively, over a period of 7.25 years. Of 304 prostatectomies performed, 91% were by transurethral prostatectomy. The proportion of patients with retention was 52%, 16% were uraemic and the incidence of carcinoma of the prostate was 21%. The operative mortality rate was 1.0%. An outline of the treatment policy and the data on complications and revision operations are presented. Comparisons are made with the experience of teaching centres and other district hospitals. Transurethral prostatectomy can be performed safely in the district general hospital and is a service which is essential to the smooth running of the surgical department.
为监测经尿道前列腺切除术这项新服务的安全性和有效性，前瞻性地开展了一项为期7.25年的审计。在304例前列腺切除术中，91%为经尿道前列腺切除术。潴留患者的比例为52%，尿毒症患者为16%，前列腺癌的发病率为21%。手术死亡率为1.0%。文中介绍了治疗策略概要以及并发症和翻修手术的数据。并与教学中心和其他地区医院的经验进行了比较。经尿道前列腺切除术可在地区综合医院安全实施，是外科顺利运转必不可少的一项服务。
