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

Ceylan, Kadir

doi:10.29333/ejgm/82354

Cited by 8 publications

(7 citation statements)

References 12 publications

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“…Our total complication rate was 90 (36.4%). Ceylan et al [24], in a review of OP in Asia reported a total complication rate of 34.6%, while researchers on the African continent have reported values between 40.1% and 42.3% [16] [22]. The modified Clavien system popularized by Dindo et al [7] was used to classify the complications from our study ( Table 2).…”

Section: Discussionmentioning

confidence: 97%

Open Prostatectomy in the Management of Benign Prostate Hyperplasia in a Developing Economy

Salako¹,

Badmus²,

Owojuyigbe³

et al. 2016

OJU

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Background: Open prostatectomy (OP) is still relatively common in developing countries and remains a useful benchmark against which the minimal access surgical techniques are compared. This study aims to document the indications and outcomes of OP in a typical developing economy. Method: The records of patients with benign prostate hyperplasia (BPH) who had OP in our university teaching hospital between July 2004 and June 2014 were retrospectively reviewed. Some analyzed parameters include the demographic characteristics, indications, pre-operative work-up, anaesthetic techniques, OP type, complications, histopathology results and follow-up duration. Results: A total of 247 cases were studied. Mean age was 67 years while the commonest surgery indication was recurrent acute urinary retention. Average prostate specific antigen (PSA) was 8.4 ng/ml while hypertension was the most common co-morbidity (44.1%). Regional anaesthesia was mainly used (79.4%) while retropubic prostatectomy was the commonest OP type done (58.7%). The enucleated specimen weighed above 60 g in 91.9% of cases. All our patients were able to micturate spontaneously with urine stream above 20 mls/second on follow-up one week after discharge. Mean duration of hospital admission and follow-up were 7 days and 9 months respectively. Complications occurred in 90 patients (36.4%), of which surgical site infections were the commonest (9.8%). There was 0.4% mortality. Histopathology results showed BPH (95.5%), (incidental) prostate adenocarcinoma (2.4%) or prostatic intra-epithelial neoplasia (2.1%). Conclusion: OP remains an important therapeutic option for management of BPH in developing countries partly due to relatively large prostate size and presence of BPH complications from late presenta-#

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Section: Discussionmentioning

confidence: 97%

Open Prostatectomy in the Management of Benign Prostate Hyperplasia in a Developing Economy

Salako¹,

Badmus²,

Owojuyigbe³

et al. 2016

OJU

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“…As a corollary, it can thus be inferred that while suture technique alone is ineffective in achieving hemostasis, traction at the bladder achieves hemostasis. 12 Traction at the bladder neck also has the advantage of allowing normal involution of prostatic fossa and thus aids in ensuring complete hemostasis which is the significant advantage over the technique of keeping inflated balloon in the prostatic fossa, wherein this normal involution is hampered and rebound hemorrhage is common. Goodyear and Beard have shown by the means of serial postoperative urethrogram of prostatic fossa, like the uterus, contracts to 50 percent of its size within few minutes, to 25% in 6 to 12 hours and gradually it contracts completely.…”

Section: Resultsmentioning

confidence: 99%

Modified technique in Freyer's prostatectomy to achieve hemostasis

Madankar¹,

Kanake²

2015

Int Surg J

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Background:The ratio of open surgery to endoscopic resection has large variations among different countries like India. Although TURP is considered as the gold standard, it is still out of reach for a vast majority of rural population due to the unavailability of expertise or equipment. One of the major complications of open prostatectomy is persistent bleeding from prostate bed. This study is an attempt to develop a technique by which complete hemostasis can be achieved by giving traction to the Foley's catheter thereby compressing the venous plexus and the avulsed prostate arteries at the bladder neck by the inflated balloon thereby reducing blood loss in open prostatectomy. Methods: A total of 130 cases of BPH were operated by Freyer's suprapubic trans-vesicle prostatectomy. Bladder mucosa is reposited below the balloon and the balloon inflated to 60ml of normal saline and traction is applied to the catheter and maintained by strapping the catheter to the thigh of the patient for 24-48 hours. Results: The average blood loss was 20.9 ml which proves that the Foley's balloon pressure traction method at the bladder neck is effective in achieving hemostasis in patients undergoing open prostatectomy. Conclusions: The balloon pressure technique is an effective method of achieving hemostasis and avoids blood transfusion in almost all of the patients treated.

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“…10 Open prostatectomy is superior over TURP for symptomatic relief and improvement of urination, but it is an invasive procedure and high morbidity compared to transurethral prostate resection. 11 Complete medical history, physical examination including the digital rectal examination (DRE), laboratory investigations including Total Prostate Specific Antigen (TPSA), renal function tests, and urine analysis and ultrasound are obligatory work-up for the diagnosis of BPH as coincided by the World Health Organization (WHO) sponsoredInternational consensus committee (ICC), UK British prostate group and American guideline group. 8 Suspect or presence for bladder cancer and/or prostate cancer is contraindicated of open simple prostatectomy.…”

Section: Discussionmentioning

confidence: 99%

Open prostatectomy: the safety and efficacy of this procedure in developing countries

Mohamed¹

2020

UNOAJ

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Objective: To propose the efficacy and safety of open suprapubic transvesical prostatectomy. Benign prostate hypertrophy (BPH) affects the majority of men in their life after the age of 40 years and is the most common cause of lower urinary tract symptoms (LUTS). Despite the popularity of transurethral resection of the prostate (TURP), open prostatectomy remains suitable surgical options for the management in patients with benign prostate hypertrophy living in developing countries due to scarcities of endoscopic tools. Method: In May 2018 to January 2020, 24 cases of benign prostate hypertrophy underwent suprapubic transvesical open prostatectomy at Mogadishu Somali Turkey Reccep Tayyip Erdogan Training and Research Hospital. The outcome of these cases was prospectively analyzed. All patients with a suspect of prostate cancer, and abnormal coagulation profile and patients with a high-risk group (high-risk comorbidities) were excluded from the study. Result: The mean age of patients was 70.5 years with an age range of 50-90. The average prostate size was 146.5gr. Acute urinary retention was the predominant presentation followed by nocturia and urgency. The mean preoperative hemoglobin of the patients was 13.3±1.8 mg//dl. The average intraoperative bleeding was 550ml and the mean postoperative hemoglobin was 10.6±1.6mg/dl. The commonest postoperative complication was clot retention and the predominant concomitant condition was bladder stones. The mean hospital stay was 3.4±1.5 days. Conclusion: Open prostatectomy is safe and effective operative management for benign prostate hyperplasia in developing countries due to scarcities of endoscopic equipment and larger sizes of the prostate gland on presentation.

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

Cited by 8 publications

References 12 publications

Open Prostatectomy in the Management of Benign Prostate Hyperplasia in a Developing Economy

Open Prostatectomy in the Management of Benign Prostate Hyperplasia in a Developing Economy

Modified technique in Freyer's prostatectomy to achieve hemostasis

Open prostatectomy: the safety and efficacy of this procedure in developing countries

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