Early outcome of transvesical prostatectomy for large prostatic adenoma

ABSTRACT

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