Three men in their 70s had long-term changes in mood and personality dating from immediately after transurethral prostatectomy. Focal abnormalities in the brain were not detected. The possibility of psychiatric as well as cardiovascular sequelae from this operation deserves investigation.
References
1.
StephensonWP, ChuteCG, GuessHA, SchwartzS, LieberM.Incidence and outcome of surgery for benign prostatic hyperplasia among residents of Rochester, Minnesota: 1980–87. A population based study.Urology1991;38(suppl 1): 32–42.
2.
ThorpeAC, ClearyR, ColesJ, VernonS, ReynoldsJ, NealDE. Deaths and complications following prostatectomy in 1400 men in the northern region of England. Northern Regional Prostate Audit Group.Br J Urol1994;74: 559–65.
3.
MebustWK, HoltgrewHL, CocketATK, PetersPC. Transurethral prostatectomy: immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3,855 patients.J Urol1989; 141: 243–7.
4.
HahnRG, NilssonA, FarahmandBY, EkengrenJ, PerssonP-G.. Operative factors and the long-term incidence of acute myocardial infarction after transurethral resection of the prostate.Epidemiology1996; 7: 93–5.
5.
MayouR, HawtonK.Psychiatric disorder in the general hospital.Br J Psychiatry1986; 149: 172–90.
6.
LivingstonG, HawkinsA, GrahamN, BlizardB, MannA.The Gospel Oak Study: prevalence rates of dementia, depression and activity limitation among elderly residents in inner London.Psychol Med1990; 20: 137–46.
7.
ShawPJ, ShawDA. Psychiatric morbidity following cardiac surgery: a review. In: DavisonK, KerrA eds. Contemporary Themes in Psychiatry. A Tribute to Sir Martin Roth.Tunbridge Wells: Gaskell,1989: 469–81.
8.
RogersMP, LiangMH, DaltroyLH, EatonH, PeteetJ, WrightEDelirium after elective orthopaedic surgery: risk factors and natural history.Int J Psychiatry Med1989; 19: 109–21.
9.
NilssonA, HahnRG. Mental status after transurethral resection of the prostate.Europ Urol1994; 26: 1–5.
10.
HendersonDJ, MiddletonRG. Coma from hyponatraemia following transurethral resection of the prostate.Urology1980, 15: 267–71.
11.
HahnRG. The transurethral resection syndrome.Acta Anaesth Scand1991; 35: 557–67.
12.
AguisAM, CutajarCL. Hyponatraemia after transurethral resection of the prostate.J R Coll Surg Edinb1991; 36: 109–12.
13.
CoppingerSM, LewisCA, MilroyEJG. A method of measuring fluid balance during transurethral resection of the prostate.Br J Urol1995; 76: 66–72.
14.
EvansJWH, SingerM, CoppingerSWV, McCartneyN, WalkerJM, MilroyEJG. Cardiovascular performance and core temperature during transurethral prostatectomy.J Urol1994; 152: 2025–9.
15.
KeatingeWR, ColeshawSR, CotterF, MattockM, MurphyM, ChelliahR.Increase in platelet and red cell counts, blood viscosity, and arterial pressure during mild surface cooling: factors in mortality from coronary and cerebral thrombosis in winter.BMJ1989; 289: 1405.
