Mode of prostatectomy in relation to its late complications at Muhimbili national hospital
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Date
2010-09
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Hubert Kairuki Memorial University
Abstract
Benign prostatic hyperplasia (BPH) becomes increasingly common as men age.
BPH can lead to urinary symptoms that may benefit from medical or surgical
treatment.
Despite the availability of modem techniques, and a wide range of modes of
prostatectomy, Post-prostatectomy late complications still are burden to many
surgeons after performing the procedure.
Our main objective is to determine the association between late post-prostatectomy
complications and the different modes of prostatectomy done at MNH.
This study is a retrospective descriptive hospital based study, which included all
patients who had prostatectomy, between the years 2005 to 2008. The study
involved all patients who undergone prostatectomy at MNH.
The data regarding the patient records and progress were collected from the
patients file. We were interested to look for the mode of prostatectomy done to
these patients, and the complaints of the late post-prostatectomy complications, if
any, and finally to relate these infomiation's.
In our study we had a total of 169 patients, who had prostatectomies. We found
that the majority of our surgeons used the Transvesical mode of open
prostatectomy [78.9%], while the Retropubic prostectomy was very minimal
[1.8%]. For the closed method, we found that 33 [19.5%] patients out of 169, had
TURP.
In this study, we found that, the most common late complication post
prostatectomy was the Retrograde ejaculation 7.7%, followed by Urethral stricture
4.1%. Urinary incontinence and bladder neck stenosis also seen in 3.6% and 3% of
the patients respectively. The least complication in this study is the erectile
dysfunction 1.8%
It shows that the Retrograde ejaculation was found more in the TVP mode of
prostatectomy [12 patients], only one patient in TURP mode, and no patients in the
RPP mode.
Bladder neck stenosis, urinary incontinence, and urethral stricture were only found
in the TVP mode. Erectile dysfunction was only found in TURP mode.
Description
A dissertation submitted in partial fulfillment of the requirements
for the Master Of Medicine (M.Med) degree in Surgery of the Hubert
Kairuki Memorial University
Keywords
Prostatectomy, Muhimbili National Hospital
Citation
Binzoo, A. A., 2010. Mode of prostatectomy in relation to its late complications at Muhimbili national hospital. HKMU