Roos N P, Ramsey E W
J Urol. 1987 Jun;137(6):1184-8. doi: 10.1016/s0022-5347(17)44442-9.
Data from the universal health insurance system in Manitoba, Canada were used to describe the short-term (2 years) and long-term (8 years) outcomes associated with prostatectomy for nonmalignant conditions (all 2,699 procedures were performed from 1974 to 1976). In a system with high quality urological care (more than 90 per cent of the procedures were performed by urologists) no superior operative results for transurethral procedures were found. Postoperative mortality rates following transurethral prostatectomy were similar to or higher than rates for open procedures, and the rate of repeat prostatectomy, was considerably higher following transurethral resection. Dilation for urethral stricture was most common after suprapubic prostatectomy and least common after retropubic prostatectomy. Patients were followed for 8 years and those who underwent transurethral prostatectomy required an additional prostatic operation at a constant rate (2 per cent per year). By the end of the followup period 16.8 per cent of the transurethral prostatectomy patients had undergone a second prostatectomy compared to 7 per cent or less of those who initially underwent an open procedure.
加拿大曼尼托巴省全民健康保险系统的数据被用于描述非恶性疾病前列腺切除术的短期（2年）和长期（8年）结果（所有2699例手术于1974年至1976年进行）。在一个拥有高质量泌尿外科护理的系统中（超过90%的手术由泌尿外科医生进行），未发现经尿道手术有更好的手术效果。经尿道前列腺切除术后的术后死亡率与开放手术相似或更高，且经尿道切除术后再次前列腺切除术的发生率显著更高。耻骨上前列腺切除术后尿道狭窄扩张最为常见，耻骨后前列腺切除术后最少见。对患者进行了8年的随访，接受经尿道前列腺切除术的患者以恒定速率（每年2%）需要再次进行前列腺手术。到随访期结束时，16.8%的经尿道前列腺切除术患者接受了第二次前列腺切除术，而最初接受开放手术的患者这一比例为7%或更低。
