Open prostatectomy: The results of a series of 320 cases in rural area

Abstract

Aim: Suprapubic prostatectomy is frequently performed in areas with poor socioeconomic condition due to insuficient endoscopy equipment. The aim of this retrospective study is to analyse and bring our experience about the open prostatectomy operation Methods: A retrospective study was done on 320 consecutive patients with BPH underwent open prostatectomy operation between January 1996 and December 2002. Analyzed factors were age, complaints, comorbidities (especially cardiac and respiratory), early and late complications and mortalitiy. Results: The total complication rate was 34.6 %. While early complication rate was 20.3 %, late complication rate was 14.3 %. There were no deaths. Early complications were clot retantion (6.6 %), severe intraoperative bleeding (3.2%), wound infection (4.0%) vesicocutaneous leak (4.7%), and reoperation for clot retantion (1.5%). Late complications were urinary tract infection (7.5%), epididymo-orchitis (3.1%), prolonged incontinance (0.9), and bladder neck or urethral stricture (2.2%). Conclusion: Our study demonstrated that open prostatectomy for benign prostatic hyperplasia (BPH) is an acceptable option with a high degree of safety and efficacy in areas where the TUR-P equipment is lacking or this operation is technically impossible.