[Multifactor analysis of bladder neck contractures after transurethral resection of prostate].

OBJECTIVE

To analyse different factors related to the occurrence of bladder neck contracture (BNC) and to find possible ways of reducing this complication.

METHODS

All putative factors and the numbers of BNC cases were studied with statistical analyses in 1,017 cases that had undergone transurethral resection of the prostate (TURP).

RESULTS

The morbidity of BNC after TURP was significantly higher than that of open operations. Small size of the prostate, longer time of operation, higher power in resection and prostatitis were factors of BNC.

CONCLUSION

Properties of the prostate and electrical current injuries of resection are the primary factors of BNC. The selection of patients and techniques of TURP are most important in decreasing the morbidity of BNC.