Profile of prostatectomy cases

Abstract

Objective: To define the clinical and demographic features of the patients who underwent prostatectomy and find out current trends in treatment of lower urinary tract symptoms (LUTS) before prostatectomy. Material and Methods: Data were collected using questionnaires filled by hospitalized patients and urologists. Data of 102 primary cases were analyzed and presented in this study. Results: Median age of the patients was 68 (46-90) years. Among all, 49% of the patients underwent surgery in the first 4 years after the beginning of LUTS. Acute urinary retention (AUR) was the indication for surgery in 34.3% of the cases, and the rest were operated due to high International Prostate Symptom Score (IPSS). Preoperatively, nocturia (34.3%) was the most bothersome symptom followed by frequency (29.4%). Although 58.8% of the cases had a preoperative prostate specific antigen (PSA) value above 2.5 ng/mL, only 27.3% of the patients had a biopsy. Prescription history of α-blockers, 5α-reductase inhibitors (5ARI) and combination of them at any time before surgery were 74.6%, 12.8% and 4.9%, respectively. In the statistical analysis; AUR was found to be correlated with a large prostate volume (Vp), high PSA, and combination of prostatic inflammation with benign prostatic hyperplasia in the prostatectomy pathology report (p<0.05). According to the International Index of Erectile Function (IIEF-5) questionnaire, only 15.6% of the cases had no erectile disfunction (ED) (score 22-25) preoperatively. Age had a negative correlation with IIEF-5 scores (p<0.05). Conclusion: The leading indication for prostatectomy was high IPSS. Most bothersome symptom was nocturia. Preoperative rates for biopsy, prescription of 5ARI, and combination treatments was lower than expected. ED was common, and increased with age. Large Vp, high PSA, and prostatic inflammation were related with AUR. © 2014 by Türkiye Klinikleri.