"Prostate surgery for BPH and urinary retention is regarded as a low risk procedure. In my opinion, although a traditional Trans Urethral Resection of the Prostate (TURP) is a safe procedure, it is not as safe as Green Light Laser Vaporization of the Prostate. Using the new Green Light Laser XPS system, I can successfully treat patients with very large prostates traditionally thought only amenable to TURP or Open Prostatectomy. Green Light Laser surgery is safer than TURP in many respects. There is certainly less bleeding, typically no need for overnight hospitalization, no risk for dangerous fluid shifts associated with absorption of glycine used in TURP and decreased length of catheterization. I have not performed a TURP in my urology practice in Miami for over two years now. I cannot comment on the details of the surgery or outcome related to Dick Clark, however, I do think there is virtually no role for a TURP surgery in the modern era where alternatives therapies for enlarged prostate and urinary retention such as Green Light Laser XPS exist. "
David Robbins, MD
The Empowered Patient is a regular feature from CNN Senior Medical News Correspondent Elizabeth Cohen that helps put you in the driver's seat when it comes to health care.
Hollywood producer and television legend Dick Clark died of a heart attack a day after having prostate surgery, according to a death certificate obtained by CNN.
Clark died last Wednesday at St. John's Health Center in Santa Monica, California. The day before his death, he had an operation to relieve 'acute urinary retention,' an inability to urinate.
"It's a very painful condition," says Dr. Kevin McVary, professor of urology at Northwestern University's Feinberg School of Medicine in Chicago.
The operation is "exceedingly safe" according to McVary, a spokesman with the American Urological Association.
"The mortality rate is less than one in 1,000. "That's very low risk," he says.
The death certificate lists acute myocardial infarction and coronary artery disease as the causes of death. In December 2004, Clark suffered what was then described as "a mild stroke," just months after announcing he had been diagnosed with Type 2 diabetes.
Patients with this kind of health history are usually screened by a doctor to test whether their heart is strong enough to withstand surgery, McVary says.
The surgery, known as transurethral resection of the prostate, is considered lower risk because it doesn't involve an external incision. Instead, doctors insert a surgical tool through the tip of the penis and into the urethra, and then cut away prostate tissue to unblock the flow of urine.
It's not known why Clark had a heart attack after this procedure. Surgery can be risky for cardiac patients. Anesthesia, for example, can be difficult on the heart, and so can blood pressure fluctuations that occur during surgery.
"Having surgery is a stressful event," says Dr. Kenneth Rosenfield, an interventional cardiologist at Massachusetts General Hospital in Boston. "It might have been enough to tip him over."
Post by: Elizabeth Cohen - CNN Senior Medical Correspondent, John Bonifield - CNN Medical Producer
Published: April 28, 2012
