Retropublic prostatectomy in 96 patients in Soba university hospital

Retropubic prostatectomy [RPP], is a good treatment option for men with symptomatic bladder outlet obstruction caused by large size prostate. To determine the intraoperative, early and late postoperative complications of retropubic prostatectomy. This is a retrospective, small-scale hospital based study conducted in Soba University Hospital, Sudan. We include 96 patients, from Jan 2003 to Jan 2008 who underwent RPP. The mortality rate was zero. Retrograde ejaculation in 50.1%, clot retention due to catheter block in 36.5% and transient urinary incontinence in 24%, all were improved within the first three months postoperatively and intraoperative bleeding was reported in 9 patients [10%]. Erectile dysfunction in 7.5%, wound infection in 6.3%, urethral stricture in 5.2%, urine leakage in 4.2% and injury to adjacent structures [peritoneum-bowel] was not reported. The complications of retropubic prostatectomy in Soba Hospital was found to be comparable to the literature

Splenectomy only, and splenectomy with devascularisation in a rural hospital: a six years experience of a General Surgeon

Bilharzial portal hypertension is a common problem in Elgezira Scheme, Sudan, where this study was conducted. The most serious complication of this disease is bleeding from oesophageal varices, and many patients present with features of hypersplenism. Splenectomy is a known effective procedure to cure cytopenia in patients with hypersplenism but also play a role in arresting variceal bleeding when coupled with devascularization. The aim of this study is to determine the indications, outcome and complications of splenectomy only and splenectomy with devascularisation [SD] in patients with bilharzial portal hypertension in an area with limited hospital facilities. The hospital lacks equipments for sclerotherapy, has limited blood bank service, no consultant anaesthetist and no intensive care unit. The study was conducted during the period between June 1994 and June 2000 at Elmanagil hospital. This is a retrospective study and patients were followed up every 6 months for 3 years. One hundred and fifty patients underwent SD and 116 underwent splenectomy; 72% patients were males, 90% of the patients ages were between 20 - 60 years. Following splenectomy, cytopenia was corrected in all patients with hypersplenism within 3 months after operation. The recurrence rate of haematemesis was 12% in those 111 patients who could be followed up for 3 years. The commonest post operative complications were malaria [6%], chest infection [4%]. Less common complications were wound sepsis 1,5% intra - abdominal sepsis 1% and pseudopancreatic cyst 1%. Six patients died within the first 3 weeks [2.2%]. Splenectomy is an effective procedure to correct hypersplenism while SD control variceal bleeding due to bilharzial portal hypertension within 3 yrs period of follow up