Early outcome of transvesical prostatectomy for large prostatic adenoma

To determine the immediate postoperative course and complications following transvesical prostatectomy for large prostatic adenoma. Description study. This study was carried out in surgical A ward lady reading Hospital Peshawar, from 1[st] February 2004 to 31[st] July 2005. All patients who presented with bladder outflow obstruction and fulfilled the instruction and exclusion criteria were included in the study. After taking an informed consent history, clinically examination and related investigations were carried out. All these patients underwent prostatectomy by transvesical approach followed up for six months. The total number of patients was 173. The mean age of patients was 63.42 years and most of the patients [n 104-60 percent] presenting with benign prostatic enlargement were in the age range of 56-60 years. The common presenting complaints were prostatectomy by transvesical approach. The postoperative complications were recorded in 23 [13.29 percent] patients. Some patients had more than one complication. These were urinary tract incontinence in 3 [1.73 percent], urethral stricture in 3 [1.73 percent] and wound infection in 2 [1.16 percent] patients. One [0.58 percent] patient died due to myocardial infarction. Transvesical prostatectomy having a low incidence of complications, requiring no special equipment, is a good procedure for large prostatic adenomas

Frequency of carcinoma in specimens of clinically benign enlarged prostate

To determine the frequency of carcinoma prostate on histology.in specimens obtained from patients with clinically benign enlarged prostate. Descriptive study. This study was carried out in Khyber Teaching Hospital [KTH]Surgical ward D and Lady Reading Hospital [LRH] surgical ward A. Peshawar from January 2004 to December2004. A total of 107 patients who presented to Surgical OPD with bladder outflow obstruction and fulfilled the inclusion and exclusion criteria of the study were included in the study. After an informed consent history.clinically examination and related investigations were carried out. All the patients underwent transvesical prostatectomy [TVP] and their prostate specimens were subjected to histopathology. Total number of patients was 107. Most of the patients [58.88%] with benign prostatic hypertrophy [BPH] were in age range of 56 - 60 years. The common presenting complaints were prostatism [57.94%] and acute retention [34.58%]. All patients underwent trans vesical prostatectomy [TVP]. On histopathology 3.74% turned out as adenocarinoma prostate while 96.26% biopsies showed BPH. The mean age of presentation with carcinoma [Ca] prostate was 65 years.In this study the frequency of Ca prostate in specimens of clinically benign enlarged gland was 3.74%. Therefore all specimens must be submitted for histopathology after prostatectomy