Adult urologyLong-term results of open transvesical prostatectomy from a contemporary series of patients
Section snippets
Material and methods
From January 1997 to December 2001, 270 patients underwent open transvesical prostatectomy in a single hospital by one senior attending surgeon. The indications for surgical management were complications and/or bothersome lower urinary tract symptoms attributed to BPH. Thirteen patients diagnosed with incidental prostate cancer in the final pathologic examination were excluded from the study, even if the focus was single and/or of low grade. Twenty-five patients with prostates smaller than 75 g
Results
The characteristics of the 232 men who underwent simple open prostatectomy for a prostrate gland greater than 75 g are shown in Table I . The average length of hospital stay was 6 ± 0.9 days (range 4 to 10). Catheter removal was possible at an average of 5 ± 0.9 days (range 4 to 10). No postoperative mortality was seen in this series of patients. Early postoperative complications are also presented in Table I.
Lower urinary tract symptoms and the quality of life question from the IPSS
Comment
Open simple prostatectomy is the oldest therapy for symptomatic BPH.11 Even though the mortality of this procedure has decreased to a minimum,12 mainly owing to the advent of better preoperative evaluation and anesthesia, and the therapeutic results obtained have been excellent,13 this procedure has been displaced by TURP, mainly because of its invasiveness.
However, in several countries, open prostatectomy still has a role in the management of BPH. In underdeveloped countries, the selection of
Conclusions
Transvesical prostatectomy in a contemporary series of patients proved to be successful, with a low rate of complications and blood loss. Its success has a durable effect and only rarely was a corrective procedure necessary. This approach should be included in the list of possible treatments to discuss with patients with a large prostate gland.10
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