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[Retropubic adenectomy (Millin's technique). Our experience]
T Zambolin1, M Scanzi, L Tralce
1Divisione Clinicizzata di Urologia, Spedali Civili di Brescia.
Summary
Retropubic adenomectomy is a safe and effective surgical option for benign prostatic hyperplasia (BPH) when indicated by prostate size. This open surgery method shows low mortality and acceptable complication rates for BPH treatment.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Benign prostatic hyperplasia (BPH) is a common condition in aging men.
- Surgical intervention is often necessary for symptomatic BPH.
- Transurethral and open surgical techniques are primary treatment modalities.
Purpose of the Study:
- To evaluate the efficacy and safety of retropubic adenomectomy for BPH.
- To determine the role of prostate size in surgical approach selection.
Main Methods:
- A retrospective analysis of 1917 patients undergoing surgery for BPH between 1983 and 1993.
- Classification of surgical approach based on prostate weight determined by ultrasound: transurethral adenomectomy for <50g, retropubic adenomectomy for >50g.
- Data collection on operative outcomes, including mortality and complication rates.
Main Results:
- 1532 patients (80%) underwent transurethral adenomectomy, while 385 (20%) had retropubic adenomectomy.
- Retropubic adenomectomy demonstrated no operative or immediate post-operative mortality in this series.
- Early complication rate was 13.7%, and late complication rate was 3.8% for retropubic adenomectomy.
Conclusions:
- Retropubic adenomectomy remains a valid surgical option for BPH when appropriate indications, particularly prostate size, are met.
- The procedure is associated with a favorable safety profile, including low mortality and manageable complication rates.