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Updated: Aug 3, 2026
06:04
Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).
Published on: March 6, 2018
[Major complications after open prostatectomy: management and prevention]
1First Affiliated Hospital, Zhejiang Medical University, Hangzhou.
Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|September 1, 1992
Summary
Open prostatectomy effectively treats benign prostatic hyperplasia (BPH), with low complication rates for hemorrhage and incontinence. Key surgical techniques minimize risks and improve patient outcomes in BPH management.
Area of Science:
- Urology
- Surgical Oncology
Context:
- Review of 829 patients treated for benign prostatic hyperplasia (BPH) between 1976 and 1989.
- Analysis of outcomes following open prostatectomy in 571 patients.
Purpose:
- To evaluate the efficacy and complication rates of open prostatectomy for BPH.
- To detail the pathogenesis, management, and prevention of surgical complications.
Summary:
- Open prostatectomy demonstrated no operative mortality.
- Complications included secondary hemorrhage (3.7%), bladder neck/urethral stricture (1.7%), and temporary incontinence (3.7%).
- Effective hemostasis, precise gland enucleation, and careful bladder neck reconstruction are crucial for reducing complications and enhancing cure rates.
Impact:
- Provides insights into long-term surgical outcomes for BPH.
- Highlights critical surgical techniques for optimizing results in open prostatectomy.
- Contributes to the understanding of BPH treatment strategies and complication mitigation.
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