Postoperative complications in patients with benign prostatic hyperplasia according to surgical technique

Authors

Keywords:

benign prostate hyperplasia, prostatic transurethral resection, transvesical adenomectomy, retropubic adenomectomy.

Abstract

Introduction: Benign prostate hyperplasia has a high prevalence in people over 50 years of age. In those who fail or is poorly tolerated medical treatment, surgery is considered.
Objective: To analyze postoperative complications in patients operated on for benign prostatic hyperplasia, according to different techniques.
Methods: 161 medical records of patients 60 years of age or older, with a diagnosis of benign prostatic hyperplasia, who underwent surgery with the techniques: open transvesical, retropubic and monopolar endoscopic adenomectomy were analyzed.
Results: The variation of hemoglobin ≥ 3mg / dl, with the transvesical technique was 17% and with the retropubic one 27,3 %. The time of bladder catheterization ≤ 4 days in the transvesical one 48,9 %; > 4 to <7 days in the retropubic in 59,1 % and ≤ 4 days in the monopolar endoscopic 68,5 %. The hospital stay ≥ 5 days, in the transvesical 51,1 % and in the retropubic 59.9%; from 1 to <3 days, with the monopolar endoscopic, 58,7 %. Urinary tract infection was more frequent with transvesical (31,9 %), surgical site infection (17 %); while epididymo-orchitis was more frequent in retropubic (40,9 %). Monopolar prostatic transurethral post-resection syndrome appeared in 17,4 % of those operated on.
Conclusion: Retropubic adenomectomy was the surgical technique with the highest frequency of complications and transurethral resection the least frequent. Acute retention of urine by retropubic technique was the most frequent complication.

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References

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Published

2021-10-22

How to Cite

1.
Pérez Medina LF, Becerra Anaya JM, Delgado Mejía GR. Postoperative complications in patients with benign prostatic hyperplasia according to surgical technique. Rev Cubana Med Milit [Internet]. 2021 Oct. 22 [cited 2025 Feb. 18];50(4):e02101615. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1615

Issue

Vol. 50 No. 4 (2021): October - December

Section

Research Article

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