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Simple perineal prostatectomy: lessons learned from a modern series.
Jonathan E Bernie1, Joseph D Schmidt
1Division of Urology, Department of Surgery, Medical Center, University of California-San Diego, San Diego, CA, USA.
The Journal of Urology
|June 11, 2003
Summary
Simple perineal prostatectomy offers a viable surgical option for benign prostatic hyperplasia, demonstrating shorter operative times and hospital stays. This approach may lead to reduced analgesic needs but potentially longer catheterization periods.
Area of Science:
- Urology
- Surgical Techniques
Background:
- Open prostatectomy is a standard treatment for benign prostatic hyperplasia (BPH).
- Limited recent literature details the perineal approach for simple prostatectomy.
Purpose of the Study:
- To describe the operative technique for simple perineal prostatectomy.
- To compare perineal, retropubic, and suprapubic open prostatectomy routes using objective parameters.
Main Methods:
- Retrospective review of 22 open prostatectomy cases (August 2001 - September 2002).
- Comparison of demographic, preoperative, intraoperative, and postoperative data.
- Analysis included operative time, blood loss, hospitalization, and analgesic requirements.
Main Results:
- Perineal approach (6 patients), retropubic (8), and suprapubic (8).
- Significantly shorter operative time and hospital stay observed in the perineal prostatectomy group.
- No significant differences noted in other compared parameters.
Conclusions:
- Simple perineal prostatectomy is a feasible alternative for BPH patients.
- It is a preferred approach for obese patients undergoing open prostatectomy.
- Expect shorter hospitalization and less analgesic use, with a potential for longer catheter drainage.