A clinical observation was made on 178 cases of benign prostatic hyperplasia, admitted to the Department of Urology, Chonnam University Medical School during the period of January 1979 to December 1983. 1. There was no remarkable increasing tendency of annual distribution from 26 patients in 1979 to 38patients in 1983. 2. Major of the patients were in the 6th and 7th decades (81.4%) with average age of 70.5years. 3. One hundred patients(56.2%) suffered from acute urinary retention prior to admission 4. Amount of residual urine ranged from 80 to 1,200 with average of 404,6 ml. 5. Pyuria was revealed in 60 cases(33.7 %), hematuria in 116(65.2%) and azotemia in 59(33.1%). 6. Associated conditions present were respiratory disorders in 44 cases, cardiovascular in 41, urologic in 25 and miscellaneous in 14. The most common associated conditions were pulmonary tuberculosis in 22 cases and hypertension in 16 7. Patients were managed with transurethral resection (TURP) in 75 cases, suprapubic prostatectomy (SP) in 72, retropubic prostatectomy(RP) in 8, cystostomy in 8 and indwelling catheterization in 24. 8. Prostatectomy was not performed in 32 cases because of patient`s refusal (19 cases) and associated conditions (13 cases). 9. Average operating time was 96.9 minutes in SP, 113.8 minutes in RP and 64.7 minutes in TURP 1O. Average weight of prostatic tissue resected was 40.5gm in SP, 49.1 gm in RP and 3.9gm in TURP 11. Average amount of blood transfused was 500ml in SP, 800ml in RP and 72ml in TURP 12. Average postoperative catheter drainage was 12.7 days in SP,7.1 days in RP and 5days in TURP. 13. Average postoperative hospital stay was 18 days in SP, 13.8 days in RP and 11.3 days in TURP. 14. Postoperative complications of SP were delayed healing with suprapubic urine leakage and rebleeding in 2 cases respectively and wound infection in 1 case. Those of RP was acute epididymitis in 2 cases. Those of TURP were rebleeding in 9 cases, acute epididymitis in 3 cases, and inability to void with urinary retention, cerebral hematoma and urethrocutaneous fistula in 1 case respectively.
Azotemia ; Catheters ; Catheters, Indwelling ; Cystostomy ; Disulfiram ; Drainage ; Epididymitis ; Fistula ; Hematoma ; Hematuria ; Humans ; Hypertension ; Jeollanam-do ; Length of Stay ; Male ; Postoperative Complications ; Prostatectomy ; Prostatic Hyperplasia* ; Pyuria ; Schools, Medical ; Transurethral Resection of Prostate ; Tuberculosis, Pulmonary ; Urinary Retention ; Urology ; Wound Infection

BACKGROUND/AIMS: Although a few recent studies have reported the effectiveness of endoscopic pancreatic sphincterotomy (EPST), none has compared physicians' skills and complications resulting from the procedure. Thus, we examined the indications, complications, and safety of EPST performed by a single physician at a single center. METHODS: Among 2,313 patients who underwent endoscopic retrograde cholangiopancreatography between January 1996 and March 2008, 46 patients who underwent EPST were included in this retrospective study. We examined the indications, complications, safety, and effectiveness of EPST, as well as the need for a pancreatic drainage procedure and the concomitant application of EPST and endoscopic sphincterotomy (EST). RESULTS: Diagnostic indications for EPST were chronic pancreatitis (26 cases), pancreatic divisum (4 cases), and pancreatic cancer (8 cases). Therapeutic indications for EPST were removal of a pancreaticolith (10 cases), stent insertion for pancreatic duct stenosis (9 cases), nasopancreatic drainage (7 cases), and treatment of sphincter of Oddi dysfunction (1 case). The success rate of EPST was 95.7% (44/46). Acute complications of EPST included five cases (10.9%) of pancreatitis and one of cholangitis (2.2%). EPST with EST did not reduce biliary complications. Endoscopic pancreatic drainage procedures following EPST did not reduce pancreatic complications. CONCLUSIONS: EPST showed a low incidence of complications and a high rate of treatment success; thus, EPST is a relatively safe procedure that can be used to treat pancreatic diseases. Pancreatic drainage procedures and additional EST following EPST did not reduce the incidence of procedure-related complications.
Adult ; Aged ; Bile Ducts/surgery ; Female ; Humans ; Male ; Middle Aged ; Pancreatic Diseases/*surgery ; Pancreatic Ducts/surgery ; Sphincterotomy, Endoscopic/adverse effects/*methods