Noguchi K, Kawakami Y, Yoshimura S
Hinyokika Kiyo. 1984 Sep;30(9):1185-8.
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.
对1977年1月至1981年12月期间接受耻骨上前列腺切除术的89例患者进行回顾性评估，分析手术风险、术前和术后并发症。患者年龄在56至87岁之间，年龄分布高峰在七十岁。常见的术前并发症是尿路感染、冠状动脉硬化，其次是高血压。前列腺切除手术时间和切除腺瘤重量平均分别为46.5分钟和35.1克。术中平均失血量为179毫升。最常见的术后并发症是急性附睾炎。无手术死亡病例。经组织学检查，在3例切除的腺瘤中发现前列腺偶发癌。腺瘤重量与术后尿路感染持续时间之间（r = 0.38，p < 0.01）以及手术时间与失血量之间（r = 0.42，p < 0.01）存在统计学显著相关性。相比之下，术前尿路感染对术后尿路感染持续时间或术后肉眼血尿无影响。
