African Journal of Medicine and Surgery

African Journal of Medicine and Surgery ISSN 2756-3324 Vol. 11 (4), pp. 001-005, April, 2024. Available online at www.internationalscholarsjournals.org © International Scholars Journals

Full Length Research Paper

Open Prostatectomy for the Treatment of Extensive Benign Prostatic Hyperplasia

Long Zhi, He Le-Ye*, Zhang Yi-Chuan, Huang Kai, Shi Xuan-Yan, Sun Xiao-Hui and Peng Dong-Yi

Department of Urology, The Third Xiangya Hospital, Central South University, Changsha, Hunan 410013, PR China.

Accepted 25 January, 2024

Abstract

The objective of this study is to assess the efficacy and safety of open surgical intervention for large volume (> 150 ml) benign prostatic hyperplasia while summarizing our clinical findings. From January 2001 to September 2010, surgeries were performed on 15 patients diagnosed with significant volume benign prostatic hyperplasia. The average age of these individuals was 71.8 ± 6.1 years. The average prostate volume measured 217.2 ± 90.6 ml (range: 150.1 to 471.7 ml). Follow-up assessments occurred at one, three, six, and twelve months post-surgery. Evaluation metrics included maximum urinary flow rate (Qmax), international prostate symptom score (IPSS), and quality of life (QoL). The findings are as follows: the average weight of the excised glands was 201.3 ± 87.5 g; the average surgical duration was 65 ± 20.4 min; and mean hemoglobin loss during surgery was 1.4 ± 1.3 g/dl. A single case of blood transfusion occurred. Post-catheter removal, all patients were able to urinate independently. One month post-surgery, Qmax improved to 21.5 ± 4.6 ml/s (P < 0.001), while IPSS and QoL scores decreased to 7.3 ± 2.5 and 2.4 ± 0.3 (P < 0.05), respectively. All patients with lower urinary tract symptoms showed significant improvement by the 12-month follow-up. Two patients experienced mild incontinence initially; however, their symptoms resolved within three months. In conclusion, open suprapubic transvesical prostatectomy proves to be a safe and effective option for treating patients with large volume benign prostatic hyperplasia, with adequate preoperative preparation being crucial for ensuring patient safety and minimizing postoperative complications.

Key words: Benign prostatic hyperplasia, huge volume prostate, surgical treatment.