December 1, 1962

Transurethral Prostatic Resection After Myocardial Infarction

Author Affiliations

Rochester, Minn.
From the sections of urology (Dr. Thompson) and medicine ( Dr. Connolly) and Fellow in Urology (Dr. Kelalis), Mayo Clinic and Mayo Foundation.

JAMA. 1962;182(9):908-911. doi:10.1001/jama.1962.03050480014004

Transurethral prostatic resection performed on 192 men with previous myocardial infarction was followed by 9 postoperative deaths from cardiovascular disease. Three of these deaths followed resection performed soon after another major surgical procedure. Mortality was no greater in patients operated on within 6 months of infarction than in the series as a whole. Risk of operation, although increased by previous myocardial infarction, is acceptable if the patient has significant obstructive symptoms. It appears safer, after a recent major surgical procedure, to postpone transurethral surgery for 2 or even 3 months, during which time catheter drainage is used if necessary. It is concluded that transurethral prostatic resection should not be denied the patient with significant obstructive symptoms even though myocardial infarction has occurred previously.