Open prostatectomy for benign prostatic enlargement in southern Europe in the late 1990s: a contemporary series of 1800 interventions

Serretta, Vincenzo; Morgia, Giuseppe; Fondacaro, Luigi; Curto, G.; Bianco, A. Lo; Pirritano, Domenico; Melloni, D.; Orestano, F.; Motta, M.; Pavone‐Macaluso, M.

doi:10.1016/s0090-4295(02)01860-5

Cited by 211 publications

(137 citation statements)

References 19 publications

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“…Although open prostatectomy is the oldest technique, it is most frequently preferred option for patients with large prostates (>80 cc) (29 (34). In that study, the most frequent late complications were urethral and/or bladder neck stenosis 87/1804 (4.8%) (34).…”

Section: Stricture After Open Prostatectomymentioning

confidence: 83%

Urethral Stricture is an Unpleasant Complication after Prostate Surgery: A Critical Review of Current Literature

Söğütdelen¹,

Haberal²,

Guliyev³

et al. 2016

jus

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Prostatectomy is one of the main causes of surgery in aging male population. Besides traditional techniques, novel minimally invasive approaches may also end up with certain complications following prostate surgery. Transurethral procedures may cause iatrogenic urethral trauma. Factors that may influence the development of iatrogenic endoscopic urethral strictures include "electrical dispersion" generated by unipolar current and the "diameter of the instruments" used. Those complications not only bother quality of life of the patients but also may cause various adjunctive procedures with an economical impact.Urethral stricture is the abnormal narrowing of any segment of the urethra surrounded by corpus spongiosum. It specifically means varying degrees of spongiofibrosis that refers to scarring of the corpus spongiosum (1). Any inflammation of the urethra can result in scarring that can lead to a stricture or a narrowing of the urethra. Besides prostate surgery, trauma, infections, tumors or any other cause of scarring may trigger urethral stricture (2). A recent metaanalysis including 732 patients showed that idiopathic and iatrogenic etiologies were by far the most common, accounting for 33% and 33% of all cases, respectively. Inflammatory and posttraumatic etiologies were found in only 15% and 19% of patients, respectively (3).Here, we tried to review the incidence and the basic risk factors that cause urethral stricture following prostate surgery. ÖZÜretral striktür enflamasyona bağlı olarak skarlaşma sonrası üretradaki daralmadır. Elli yaş üzeri erkeklerde benign ve malign hastalıklara bağlı olarak yapılan prostatektomiler oldukça yaygın olarak uygulanmaktadır. Prostatın transüretral rezeksiyonu sonrası farklı serilerde %19'a kadar çıkan oranlarda üretral darlık ve mesane boynu kontraksiyonu görülmektedir. Lazer prostatektomi sonrası üretral darlık prostatın transüretral rezeksiyonuna oranla daha az olarak görülmektedir, yaklaşık olarak %3,6 oranındadır. Açık prostatektomi en eski yöntem olmasına rağmen büyük prostat boyutlu hastalarda oldukça mantıklı bir alternatiftir. Açık prostatektomi sonrası yaklaşık olarak %1,9-4,8 oranında darlık bildirilmiştir. Radikal prostatektomi (RP) lokalize prostat kanseri tedavisinde bütün dünyada en yaygın olarak uygulanan yöntemdir. RP sonrası anastomoz seviyesinde mesane boynu kontraksiyonu olması iyi bilinen bir komplikasyondur ve yaklaşık olarak hastaların %0,4-32'sinde görülmektedir. Darlık büyük oranda endoskopik yöntemlerle tedavi edilmektedir, nadiren komplike olgularda bukkal mukoza greftli üretroplasti gerekebilmektedir. Anahtar Kelimeler: Üretral darlık, prostat cerrahisi, transüretral rezeksiyon, açık prostatektomi, radikal prostatektomi ABSTRACTUrethral stricture is narrowing of the urethra due to inflammation that results in scarring. Prostatectomies for benign and malign prostatic diseases are common surgical procedures among men mainly after their fifties. Urethral stricture or bladder neck contraction following transurethral resection of the prostate (TURP)...

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Section: Stricture After Open Prostatectomymentioning

confidence: 83%

Urethral Stricture is an Unpleasant Complication after Prostate Surgery: A Critical Review of Current Literature

Söğütdelen¹,

Haberal²,

Guliyev³

et al. 2016

jus

View full text Add to dashboard Cite

show abstract

“…To assess the surgical management of BPH in 1997 and 1998, Serretta et al 8 performed a retrospective study by sending a questionnaire to the 36 urologic units of two Italian regions Sicily and Calabria. In 1804 open prostatectomies, severe bleeding occurred in 11.6% and blood transfusions were given in 8.2%.…”

Section: Discussionmentioning

confidence: 99%

Open prostatectomy for benign prostate hyperplasia: short-term outcome in 3000 consecutive patients

Zargooshi

2007

Prostate Cancer Prostatic Dis

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The purpose of this study was to report the short-term results of open prostatectomy for benign prostatic hyperplasia (BPH). Patient charts were retrospectively reviewed from September 1988 to April 2004. A total of 3000 consecutive patients with bothersome lower urinary tract symptoms (LUTS) and complications of BPH underwent open prostatectomy in our center. We routinely used a retropubic, transcapsular approach with spinal anesthesia. Mean age was 69 years. Three hundred and sixty one patients were 80 years or older. Mean prostate volume was 71 ml. One thousand eight hundred and twenty five patients (60.8%) presented with and were operated on for acute urinary retention (AUR), and 350 patients (11.7%) presented with and were operated on for urge/overflow urinary incontinence. The main reasons for delayed presentation were poverty and absence of real medical insurance, because in Iran 'insured' patients pay at least 60% of their medical expenses personally. Reoperation in the same admission was needed in 29 patients (1%). Transfusions were needed in 99 patients (3.3%). Wound infection occurred in 37 patients (1.2%). Acute myocardial infarction (MI) occurred in 15 patients (0.5%), resulting in three deaths. Occurrence of AUR had significant negative correlation with duration of symptoms (Po0.05; odds ratio 0.5), and significant positive correlation with positive urine culture (Po0.05; odds ratio 2.7). Duration of hospital stay had significant positive correlation with positive urine culture (Po0.05; odds ratio 1.6) and advanced age (Po0.05; odds ratio 1.8), and significant negative correlation with prostate volume (Po0.05; odds ratio 0.6). Our results are representative of the current status of open prostatectomy. Whenever minimally invasive therapies are not affordable retropubic prostatectomy is a practical alternative.

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“…[56] Previously, TURP was the most commonly used operation for obstruction relief and accounted for 60% to 97% of the prostate operations. [4][5][6][7]58] The use of OP is now mostly confined to less developed countries with little expertise or experience in endoscopy. [58] Currently, laser vaporization technology and Holmium laser enucleation of the prostate are revolutionary techniques with little morbidity and equivalent success to OP or TURP, and are promising to be the new gold standard treatments of BPH, irrespective of the prostate size.…”

Section: Resultsmentioning

confidence: 99%

“…Currently, TURP is considered as the reference or standard treatment for the prostate less than 70 to 80 g . [1][2][3] Nevertheless, OP is still being performed for operations of the prostates that are candidate for TURP in many developing and even developed countries, as the percent of OP in the late 1990's and early 2000 in Sweden [4], France [5], Italy [6], and the Mediterranean coasts [7] ranged from 14% to 40%. In the 21 st century, with advances in surgical methods and anaesthesia, the complications of OP have decreased relative to the reports of the old times.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Post Operative Complications of Open Prostatectomy (Fryer’s) Versus Trans Urethral Resection of Prostate

Gupta

Solanki

Maharaul

2015

Int Jour of Biomed Res

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Aims & objectives: To compare post-operative complications between open prostatectomy (FREYER`S) and T.U.R.P. Material and Methods: Patients, who were candidates for prostate surgery & had been referred to urology outpatient clinic in our hospital between December 2011 to September 2013, were enrolled for the study. These patients were then divided in two groups -A and B randomly, by using the process of randomization. Group A comprised of patients for open prostatectomy and Group B of patients for T.U.R.P. Conclusion:In expert hands and with proper monitoring facilities TURP is the best method of prostatectomy for small glands. However in a country like ours where all ideal facilities are not available freyer`s method will still be widely practiced for long periods.

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Open prostatectomy for benign prostatic enlargement in southern Europe in the late 1990s: a contemporary series of 1800 interventions

Cited by 211 publications

References 19 publications

Urethral Stricture is an Unpleasant Complication after Prostate Surgery: A Critical Review of Current Literature

Urethral Stricture is an Unpleasant Complication after Prostate Surgery: A Critical Review of Current Literature

Open prostatectomy for benign prostate hyperplasia: short-term outcome in 3000 consecutive patients

A Comparative Study of Post Operative Complications of Open Prostatectomy (Fryer’s) Versus Trans Urethral Resection of Prostate

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