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[Trigonocervicoprostatotomy. Results in 205 cases]
O Ochoa Urdangarain1, J A Hermida Pérez, E Morell Molina
1Servicio de Urología, Hospital Provincial Docente Manuel Ascence Domenech, Camagüey, Cuba.
Objective:
To analyze the results of transurethral incision of the prostate in 205 patients with prostatic obstruction.
Methods:
205 patients comprised the study. The clinical records and surgical reports were reviewed for patient age, pre and postoperative symptoms, physical examination (principally digital rectal examination), ultrasound findings (prostate weight), endoscopy, type of surgery (type of incision), operating time, hospital stay and complications.
Results:
37.07% were aged 60-69 years, 59.51% were grade I according to the DRE and ultrasound findings, and prostatic weight. Bilateral incision was performed in 65.36%. The operating time was 15 minutes in 79.02% of the cases and the length of stay was 3 days in 89.75% of the cases. Postoperative hematuria was the most common complication.
Conclusions:
Endoscopic transurethral incision of the prostate is an alternative minimal invasive surgery in the treatment of early onset benign hyperplasia of the prostate with small prostates and short urethras.