Research On Six months prospective study Of Outcome Of Transvesical Prostatectomy Among patients admitted with benign prostatic hyperplasia to JUMC

Abstract

Background: The treatment of urinary bladder outlet obstruction secondary to BPH is pharmacologic (medical) and surgical. Prostatectomy for patients with BPH is one of the most frequent operations performed in the world (3).TVP may be safely performed in areas with poor socioeconomic condition by adequately trained surgeons who have no sufficient endoscopic equipment. In many parts of our country, patients do not usually admit for treatment until they have acute urinary retention, even though they have had diminishing caliber and strength of the urinary stream for months. So TVP is the only option and this study aim to evaluate how open prostatectomy for benign prostatic hyperplasia (BPH) is an acceptable option with a high degree of safety and efficacy in areas where the TURP equipment is lacking or this operation is technically impossible. .Method: Prospective cross sectional study was used. All patients admitted to surgical ward with the diagnosis of BOO secondary to benign prostatic hyperplasia and undergone transvesical prostatectomy were included. No sampling technique was used. All patients admitted to surgical ward with the diagnosis of BOO secondary to benign prostatic hyperplasia were traced and data were collected from patients record using structured questionnaire by principal investigator and residents. After checking completeness of data, it was analyzed IPSS Results: Among 60 patients admitted to JUMC for TVP during the study period, 4(6.6%) were in the age range of 40-50, 28(46.6%) in the age range 51-60, 19(31.6%) were in the 61-70, 7(11.6%) were in the 71-80 and two(3.3) patients >80.Among 60 patients who were undergone TVP during the study period 53(88.3) patients had complaint of progressive lower urinary tract symptoms, of which the predominant complain were frequency, urgency, dribbling, and nocturia 83.01%, 75.5% and 50.9% in decreasing order. Complaint of poor stream and hesitancy were identified in 17(32.0%) and 15(28.3%) patients respectively. The least complaint was incontinence. Of these 60 patients admitted for the operation during the study period, twenty eight (46.67%) patients had history of acute urinary retention for which they were kept on catheter. Thirteen (21.6%) patients were having chronic urinary retention with deranged renal function of various degree. Conclusion: Many patients presented with bladder outlet obstruction aged 6th and 7th, almost half admitted for transvesical prostatectomy were have had one or more acute urinary retention by the time they presented. The transvesical prostatectomy is the only available and also appropriate management with its acceptable, if correctly identified manageable, immediate and late post operative complication