Salim Khattak, Asghar Kamal, Aziz Marjan Khattak.
Surgical treatment of Benign Prostatic Hyperplasia: outcome of Transvesical Prostatectomy
Biomedica Jul - Dec 2004;20(2):122-6.
District Head Quarter Teaching Hospital DI Khan
Benign Prostatic Hyperplasia (BPH) is a common disease in elderly people. Different treatment options i.e medical and surgical are available. Transvesical prostatectomy is commonly employed for BPH in our set up. The procedure is analysed and discussed in this prospective study. The objectives include the evaluation of the results of trans-vesical prostatectomy regarding short and long term complications, ways to bring down complications, manageability within the available resources and compare the out come with the reported literature about the treatment of BPH. The study was carried out at the District Head Quarter Teaching Hospital D. I. Khan from January 2000 to December 2002 i.e for a period of three years. A total of 209 cases of enlarged prostate were evaluated. Preoperative assessment of the patients for prostate size, status of urinary tract was done on admission, and bladder wash with normal saline carried out for 12-14 hours. Postoperative complications were recorded and compiled. Patients were discharged after removing catheter on 6th postoperative day and being able to pass urine. Patients were followed for 6 months to one year. Majority of patients presented between 50 and 90 years. Mean age was 63.43 years. Over all complications were 42%. Preoperative catheterization caused infection which played a major role in postoperative morbidity. Perioperative antibiotics and bladder instillation with povidone-iodine reduced infection. Transuretheral resection of prostate (TURP) is gold standard for BPH, however transvesical prostatectomy still has a place in modern urology and must be taught to trainees.
Category: Urology
Keywords: Prostate. TURP. Benign Prostatic Hyperplasia. Prostatectomy.
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