Living status in patients over 85 years of age after TUVRP

Abstract

Introduction: To evaluate surgical risk and post-operative quality of living status in patients over 85 years of age after transurethral vaporization resection of the prostate (TUVRP). Methods: Sixty patients over 85 years of age underwent TUVRP were compared with 228 patients less than the age of 80 years. Group A was 60 patients greater than 85 years of age, Group B was 137 patients from 71 to 79 years of age, and Group C was 91 patients from 60 to 70 years of age. Results: In Group A, pre-operative ASA grade was higher than the other two groups, compared with Group C, p<0.01. Operating time was 40.03±18.90min, compared in the three groups, p>0.05. Follow-up was obtained in 49 (81.67%) patients; of them 10 patients were deaths with a survival time of 22.90±11.14 months. In the 39 survivors, post-operative IPSS score was 11.17±6.9, compared with Group B, p>0.05 and Group C, p<0.01. Quality of Life (QOL) index was 1.11±0.80, compared with Group B, p<0.001 and Group C, p<0.01. Barthel Index score in 16 patients was >60 and the score was 82.81±8.56 pre-operatively. The patients with >60 were increased to 19 cases and the score was improved to 90.93±7.58 (p<0.001) in follow-up. Conclusion: Surgical risk in patients over 85 years of age was higher than patients less than the age of 80 years. A safety TUVRP could improve their voiding function and activities of daily living. © 2013 Informa UK Ltd.