313 TURP were performed at the four institutions (University Departments of Padua and Brescia and Hospital Departments of Treviso and Bergamo) between 1987 and 1990. 85% of patients with obstructive prostatic hypertrophy underwent TURP. A metallic sheath (24–25ch.) was routinely used, while Iglesias or Reuter Trocar were chosen in a few selected cases. 200 patients (50 from each institution) operated in 1989 were evaluated: detrusor contractility, deficiency and irritative symptoms (urgency-frequency) were also Present in 22% of patients. Follow up shows that procedures to remove the obstruction do not always cure irritative symptoms. No major complications or deaths are reported. 55 Patients (80%) were treated endoscopically for bladder stones and 5 patients (28%) underwent TURP followed by surgical diverticulectomy. BPH and superficial bladder tumors, when present together, are preferably treated separately to avoid neoplastic contamination of the prostatic fossa.
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