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Related Experiment Videos

[Transvesical prostatectomy for benign prostatic hyperplasia--a 364 cases analysis].

L B Tan1, C P Chiang, C H Huang

  • 1Department of Urology, Provential Tainan Hospital, Tainan, Taiwan, Republic of China.

Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|November 1, 1991
PubMed
Summary

Transvesical prostatectomy for benign prostatic hyperplasia had a 6.8% wound infection rate. This complication suggests the procedure

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Area of Science:

  • Urology
  • Surgical Procedures
  • Patient Outcomes

Context:

  • Retrospective analysis of 364 transvesical prostatectomies for benign prostatic hyperplasia (BPH) performed between 1972 and 1988.
  • Data collected from the Department of Urology, Kaohsiung Medical College Hospital.
  • Evaluates surgical outcomes, complications, and mortality rates associated with the procedure.

Purpose:

  • To assess the efficacy and complication rates of transvesical prostatectomy in treating benign prostatic hyperplasia.
  • To determine the incidence of post-operative complications, including wound infections, incontinence, strictures, and impotence.
  • To evaluate the relationship between prophylactic vasectomy and epididymitis/orchitis.

Summary:

  • Average procedure time was 116.1 minutes, with an average tissue resection of 38.3 grams.

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  • Common complications included wound infections (6.8%), urethral stricture (4.12%), and stress incontinence (1.92%).
  • Mortality rate was 0.27%, with one postoperative death. Prophylactic vasectomy did not prevent epididymitis.
  • Impact:

    • A significant post-operative wound infection rate (6.86%) necessitates longer hospitalization and increased antibiotic use.
    • The findings suggest a declining role for transvesical prostatectomy, recommending it primarily for select patients with concurrent genitourinary conditions.
    • Highlights the need for careful patient selection and consideration of alternative BPH treatments.