Benign prostatic hypertrophy [Patients profile and management]

ABSTRACT

A retrospective review of 235 patients of Benign Prostatic Hypertrophy [BPH] who were managed surgically in the Department of Urology, Sheikh Zayed Hospital, Lahore from June, 1987 to June, 1989 is presented. Out of these patients, 192 cases [81.7%] were treated by trans-urethral resection of prostate, 32 patients [13.6%] treated by open protectomy and 11 cases [4.6%] had bladder neck incision. Majority of the patients [70.21%] had significant preexisting medical problems. The mean age of the patients was 68.1 years and 89.37% were more than 55 year of age. The overall mortality rate of surgical management of B.P.H. was 1.2% with a morbidity rate of 15.6%. The mean age was 68.1 years. The common modes of presentation were prostration [43.41%], acute urinary retension [35.33%], chronic retension [17.44%] and other like vesical calculi [3.82%]. The overall morbidity was 15.79% and included intra-operative bleeding [3.41%], TUR syndrome [1.70%], cardiac arrythmias [0.85%], extravasation [1.70%], failure to void [3.41%], post-operative bleeding [1.28%], UTI [2.12%] and epididymitis [1.28%]. Increased morbidity was noticed in patients, presenting with pre-operative acute urinary retention, those who have had prolonged indwelling bladder catheterization, those aged more than 70 years, urban population, when T.U.R.P. time was more than 75 minutes, prostate gland size was more than 45 grams, patients who had pre-existing urinary tract infection and those who had associated vesical calculi. The overall mortality was 1.28%. Morbidity and hospital stay was comparable to previously reported international studies