Open prostatectomy for BPH in contemporary urological practice in Ibadan, Nigeria

Olapade-Olaopa, E.O.; Adebayo, Sikiru A.; Takure, AO; Ob, Shittu; Okeke, L.I.

doi:10.1016/j.afju.2014.03.012

Cited by 1 publication

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“…We considered the transvesical approach in those with SPC in-situ and those with co-existing bladder pathologies such as calculi or diverticulum, which were attended to during same surgery. A review of practice from other hospitals revealed that retropubic prostatectomy is the sole form of OP done by some surgeons while for others, there was a preference for transvesical prostatectomy [3] [16] [22]. Some other authors however practice both forms of prostatectomy, in similar manner to our practice [9] [10] [23].…”

Section: Discussionmentioning

confidence: 85%

“…Transurethral resection of the prostate (TURP) on the other hand is termed a "second generation" procedure and is traditionally believed to be the gold standard for the surgical management of BPH worldwide especially if the prostate is relatively small (<60 g) [2]. OP is however still a common procedure in many developing countries especially in Africa partly due to poor availability of endoscopic equipment, scarcity of trained endoscopic personnel and the fact that the relatively larger prostate volumes encountered in Africans compared to Caucasians may not be amenable to TURP [2] [3].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Open Prostatectomy in the Management of Benign Prostate Hyperplasia in a Developing Economy

Salako¹,

Badmus²,

Owojuyigbe³

et al. 2016

OJU

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Background: Open prostatectomy (OP) is still relatively common in developing countries and remains a useful benchmark against which the minimal access surgical techniques are compared. This study aims to document the indications and outcomes of OP in a typical developing economy. Method: The records of patients with benign prostate hyperplasia (BPH) who had OP in our university teaching hospital between July 2004 and June 2014 were retrospectively reviewed. Some analyzed parameters include the demographic characteristics, indications, pre-operative work-up, anaesthetic techniques, OP type, complications, histopathology results and follow-up duration. Results: A total of 247 cases were studied. Mean age was 67 years while the commonest surgery indication was recurrent acute urinary retention. Average prostate specific antigen (PSA) was 8.4 ng/ml while hypertension was the most common co-morbidity (44.1%). Regional anaesthesia was mainly used (79.4%) while retropubic prostatectomy was the commonest OP type done (58.7%). The enucleated specimen weighed above 60 g in 91.9% of cases. All our patients were able to micturate spontaneously with urine stream above 20 mls/second on follow-up one week after discharge. Mean duration of hospital admission and follow-up were 7 days and 9 months respectively. Complications occurred in 90 patients (36.4%), of which surgical site infections were the commonest (9.8%). There was 0.4% mortality. Histopathology results showed BPH (95.5%), (incidental) prostate adenocarcinoma (2.4%) or prostatic intra-epithelial neoplasia (2.1%). Conclusion: OP remains an important therapeutic option for management of BPH in developing countries partly due to relatively large prostate size and presence of BPH complications from late presenta-#

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%