Benign prostatic hypertrophy and uraemia. A review of 315 cases

Abstract

The overall hospital mortality-rate of 315 patients with benign obstructive prostatic disease and renal failure was 21 per cent. One hundred and ninety-four patients (61·6 per cent) were dealt with by prostatic surgery, in the majority of whom a significant improvement in renal function followed a short period of bladder drainage. Only 10 per cent of the patients managed by preliminary suprapubic cystostomy underwent definitive surgery, the greater proportion dying within 15 months of this minor procedure. The importance of fluid and electrolyte imbalance following the acute relief of a chronic lower urinary-tract obstruction is emphasized and the possible use of preoperative dialysis discussed.