Janin P, Haillot O, Boutin J M, Lesourd B, Hubert B, Lanson Y
Service d'Urologie, CHU de Tours.
Prog Urol. 1995 Sep;5(4):515-21.
To calculate the incidence of surgical treatment of benign prostatic hyperplasia (BPH) in two French departments, Indre-et-Loire and C her, in order to deduce the incidence in France.
All patients operated for BPH by transurethral resection or transvesical prostatectomy were counted prospectively over a 6-month period by all surgeons of the Indre-et-Loire and Cher departments. Collection of case files was complete and based on BPH resection specimens sent to pathology. 506 patients were included in this survey.
The mean age of the patients was 71.8 years. 78% of patients were operated by a private urologist, and 93% by a specialist urologist. The mean postoperative stay was 7.1 days and varied according to the patient's age, the weight of the prostate and the site of the operation (university hospital, private establishment and general hospital). This study allowed calculation of the annual incidence of surgery for BPH in these 2 departments: 822/100,000 men over the age of 50 years. The maximal incidence was observed during the 7th decade of life: 1,742/100,000. In our study, private urologists operated 76 patients for BPH per year.
Extrapolation of these results to the French population indicates an annual incidence of surgery for benign prostatic hyperplasia in France of 776/100,000 men over the age of 50 years. On the basis of this incidence, an estimated 55,000 to 65,000 men are operated for BPH per year in France.
计算法国安德尔-卢瓦尔省和谢尔省两个地区良性前列腺增生（BPH）手术治疗的发病率，以推断法国的发病率。
安德尔-卢瓦尔省和谢尔省的所有外科医生对在6个月内接受经尿道切除术或经膀胱前列腺切除术治疗BPH的所有患者进行前瞻性计数。病例档案收集完整，基于送至病理科的BPH切除标本。本调查纳入了506例患者。
患者的平均年龄为71.8岁。78%的患者由私立泌尿科医生进行手术，93%由泌尿科专科医生进行手术。术后平均住院时间为7.1天，且根据患者年龄、前列腺重量和手术地点（大学医院、私立机构和综合医院）而有所不同。本研究得以计算这两个地区BPH手术的年发病率：50岁以上男性中为822/10万。发病率最高出现在70岁年龄段：1742/10万。在我们的研究中，私立泌尿科医生每年为76例BPH患者进行手术。
将这些结果推算至法国人口，表明法国50岁以上男性良性前列腺增生手术的年发病率为776/10万。基于这一发病率，估计法国每年有55000至65000名男性接受BPH手术。
