Open prostatectomy: the safety and efficacy of this procedure in developing countries
- Urology & Nephrology Open Access Journal
Abdikarim Hussein Mohamed, Hussein Ali Mohamud
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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.
prostate, open prostatectomy, clot, acute urinary retention, bleeding, nocturia