Open Prostatectomy: The Results Of A Series Of 320 Cases In Rural Area

Abstract

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Keywords

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Open Prostatectomy: The Results Of A Series Of 320 Cases In Rural Area

Abstract

Aim: Suprapubic prostatectomy is frequently performed in areas with poor socioeconomic condition due to insuficient endoscopy equipment. The aim of this retrospective study is to analyse and bring our experience about the open prostatectomy operation Methods: A retrospective study was done on 320 consecutive patients with BPH underwent open prostatectomy operation between January 1996 and December 2002. Analyzed factors were age, complaints, comorbidities (especially cardiac and respiratory), early and late complications and mortalitiy. Results: The total complication rate was 34.6 %. While early complication rate was 20.3 %, late complication rate was 14.3 %. There were no deaths. Early complications were clot retantion (6.6 %), severe intraoperative bleeding (3.2%), wound infection (4.0%) vesicocutaneous leak (4.7%), and reoperation for clot retantion (1.5%). Late complications were urinary tract infection (7.5%), epididymo-orchitis (3.1%), prolonged incontinance (0.9), and bladder neck or urethral stricture (2.2%). Conclusion: Our study demonstrated that open prostatectomy for benign prostatic hyperplasia (BPH) is an acceptable option with a high degree of safety and efficacy in areas where the TUR-P equipment is lacking or this operation is technically impossible. Key words: Open prostatectomy, rural area, complication

Keywords

• Open prostatectomy, rural area, complication

References

1. Presti JC. Neoplasms of the prostate gland.In: Smith’s general Urology. Edited by Tanagho EA, Mc Annich JW. International 2000:399-421 McGraw-Hill,
2. Mozes B, Cohen YC, Olmer L, Shabtai E . Factors affecting change in quality of life after prostatectomy for benign prostatic hypertrophy: the impact of surgical techniques. J Urol 1996;155(1):191
3. Mearini E, Marzi M, Mearini L, Zucchi A, Porena M. Open prostatectomy in benign prostatic hyperplazi: 10-Year experience in Italy. Eur Urol 1998;34: 480-5
4. Tubaro A, Carter S, Hind A, Vicentim C, Miano L. A prostatic study of the safety and efficacy of suprapubic transvesicale prostatectomy in patients with benign prostatic hyperplasia. J Urol 2001;166: 172-6
5. Jepsen JW, Bruskewitz RC, Recent developments in the surgical management of benign prostatic hyperplasia. Urology 1998;51:23-31
6. Condie JD, Cutherell L, Mian A. Suprapubic prostatecyomy for benign prostatic hyperplasia in rural Asia: 200 Consecutive cases. Urology 1999;54: 1012-6
7. Stutzman RE, Walsh PC. Suprapubic and retropubik prostatectomy, 6th ed. Edited P.C. Walsh, A.B.Retik,T.a.Stamey, and E.D. Vaughan, Jr.Philadelphia W.B.Saunders Co. 1992;2851-63
8. Meier DE, Tarpley JL, Obioha O et al. The outcome of suprapubic prostatectomy: a contemporary series in the developing world. Urology 1995;46(1):40-4

9. Han M, Alfort HJ, Partin AW. Retropubic and suprapubic open prostatectomy. In Campbell’s Urology. Edited by P.C.Walsh, A.J.Wein.Jr.Philadelphia: Saunders Co. 2002;1423-34
10. Stutzman RE. Open Prostatectomy In: Urologic Surgery 4th ed. Edited by James F. Glenn.J.B. Lippincott com. Philadelphia, 1992;585-602
11. Donatucci CF. Postoperative care. In surgery of the prostate edited by Resnick MI, and Thomson IM, Churchill Livingstone Int. Edition, 1998;333-44
12. Claus GR,: Complications of surgery . In surgery of the prostate . Edited by Resnick MI, Thomson IM, Churchill livingstone int. ed., 1998;345-65
13. Mebust K, Holtgrewe HL, and Cockett AT: Transurethrel prostatectomy: Immediate and postoperative complications A comparative study of 13 institutions evaluating 3, 885 patients. J Urol 1989;141:243-7
14. Esho JO, Ntia IO,and Kuwong MP: Synchronous suprapubic prostatectomy and inguinal herniorrhaphy. Eur Urol 1998;14:96-8
15. Schlegel PN, and Walsh PC: Simultaneus preperitoneal hernia repair during radical pelvic surgery. J Urol 1987;137:1180-3
16. Mc Connell JD, Barry MJ, Bruskewitz RC et al. Benign prostatic hyperplasia: diagnosis and treatment. Agency for health care polcy and research. Clin Pract Guidel Quick Ref Guide Clin 1994;8:1- 17
17. Zorn DH, McLeod DG: Follow –up care. In surgery of the prostate edited by Resniick MI, and Thomson In, Churchill Livingstone Int. Ed, 1998;367-77