Online ISSN: 2515-8260

A Prospective study to postoperative recovery, immediate and late postoperative complications in patients treated with transvesical prostatectomy.

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Khyati Vaja , Aman Ratan Balar , Rajesh Parmar

Abstract

Background:Benignprostatichyperplasia(BPH)occursinoldermen.Theprostateoften enlargestothepointwhereurinationbecomesdifficult.Symptomsinclude need to urinate often (frequency) or taking a while to get started (hesitancy).Iftheprostategrowstoolarge,itmayconstricttheurethraand impede the flow of urine, making urination difficult and painful and, in extreme cases, completelyimpossible. Aims & Objectives: To study and evaluate postoperative recovery, immediate and late postoperative complications in patients treated with transvesical prostatectomy. Methods: Study was conducted among 50 patients of Prostatic enlargement. Digital Rectal examination,PSA was done. Open prostectomy,Freyers transvesical prostectomy or Milins operative techniques were used for removal of prostate depending upon the indication. Results: Most common early postoperative complications were wound infection and haemorrhage, followed by clot retention. Wound infection was found in 36% cases postoperatively and 10% patients had urinary incontinence. Suprapubic leak was seen in 8% patients postoperatively with other bladder pathologies like bladder calculi or cystitis. Epididymo-orchitis was found in 4% of patients post-operatively in our study. Conclusion: Dependinguponsizeofprostate,symptomsandavailabilityofinstitutional resources, newer operative modalities should be tried to improve overall outcome.

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