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When a prostate resection (routine surgery for noncancerous enlarged prostate) continues for more than an hour, there's a risk of transurethral prostate resection syndrome. This syndrome, which has been known for more than the thirty years I've practiced medicine, can send a patient into congestive heart failure. The risk of this syndrome increases for every minute of resection that exceeds one hour. At the two-hour point, the rate of death or severe disability is over 10 percent.
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