To evaluate the safety, effectiveness, and postoperative outcomes of TURP in men aged ≥ 85 years, focusing on catheter-free rates, complication profiles, and one-year survival, with a clear definition of 'treatment success'.
Key Findings:
194 TURP procedures were performed in patients aged ≥ 85 years with a median follow-up of 6 years, with 62% of patients being catheter-dependent preoperatively. Complication rates and treatment success rates were assessed, with specific focus on frailty and comorbidities, including detailed statistics.
Interpretation:
The study provides insights into the outcomes of TURP in an increasingly relevant demographic, highlighting the need for tailored management strategies in the extreme elderly and the implications for clinical practice.
Limitations:
Retrospective design may introduce bias, limited generalizability due to single-center study, and absence of formal frailty assessments may impact conclusions.
Conclusion:
TURP can be a viable option for managing BPO in men aged ≥ 85 years, but careful consideration of individual patient factors is essential.
