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Ten-year experience with open prostatectomy in maiduguri
Ibrahim Ahmed Gadam1, Ali Nuhu, Suleiman Aliyu
1Department of Surgery, University of Maiduguri Teaching Hospital, PMB 1414, Borno State, Maiduguri, Nigeria ; Department of Surgery, College of Medical Sciences, University of Maiduguri, Nigeria.
ISRN Urology
|December 11, 2012
Summary
Open prostatectomy is an effective and safe treatment for benign prostatic hyperplasia (BPH) in elderly men, showing low complication rates and mortality in Nigeria.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Benign prostatic hyperplasia (BPH) is a prevalent condition causing lower urinary tract obstruction in aging males.
- Open prostatectomy is a surgical option for managing BPH.
Purpose of the Study:
- To assess the effectiveness, safety, and outcomes of open prostatectomy for BPH.
- To evaluate the procedure's utility in a Nigerian teaching hospital setting.
Main Methods:
- A retrospective review of 253 men who underwent open prostatectomy for BPH between 2001 and 2010.
- Analysis of patient demographics, clinical presentation, comorbidities, and postoperative outcomes.
Main Results:
- The mean patient age was 69.11 years, with frequency and poor stream as common symptoms.
- Hypertension and diabetes were the most frequent comorbidities.
- Postoperative complications included clot retention and wound infection (7.5% each), with a mortality rate of 0.4%.
Conclusions:
- Open prostatectomy remains a primary surgical treatment for BPH in developing regions lacking facilities for transurethral resection of the prostate (TURP).
- The procedure demonstrates acceptable postoperative morbidity and very low mortality.
