Clinical, Epidemiological and Perioperative Characteristics of Patients Undergoing Prostate Adenomectomy, from 2014 to 2018.
DOI:
https://doi.org/10.54212/27068048.v7i1.46Keywords:
Prostatectomy, Retropubic, ComplicationsAbstract
Objective: to know the frequency of patients undergoing prostate adenomectomy between the years 2014 to 2018 and to describe their clinical, epidemiological and perioperative characteristics of the patients, as well as the main surgical complications.
Methodology: observational, descriptive, cross-sectional, retrospective study with evaluation of clinical files. After the information was collected, a database was made in the Epi-Info 7.1.5 program, where the data of the study variables were tabulated by frequency and percentages.
Results: 91 adenomectomies were performed between 2014 and 2018, 15 cases were excluded. The average age was 71.2 years, with an average BMI of 27 Kg / m2. Fifty-nine percent had urinary catheter permanence and the rest of the patients had moderate to severe urinary symptoms. The mean prostatic volume was d145 mL. The mean surgical time was 1:46 hours. The average hospital stay was 6.5 days. 19.7% of the patients presented postoperative complications, mainly hemorrhagic.
Discussion: prostate adenomectomy is the treatment of choice for large volume prostates in our environment, being safe but with a considerable rate of complications and transfusion.
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References
Ulchaker, J., Martinson, J. Cost-effectiveness analysis of six therapies for the treatment of lower urinary tract symptoms due to benign prostatic hyperplasia. 2018, Clinic, Economics and Outcomes Research10 29-43, 2018. https://doi.org/10.2147/CEOR.S148195 DOI: https://doi.org/10.2147/CEOR.S148195
Eken, A., Soyupak, B. Safety and efficacy of photoselective vaporization of the prostate using the 180-W GreenLight XPS laser system in patients taking oral anticoagulants. J Int Med Res, Vol. 46(3) , pp1230-1237. 2018. https://doi.org/10.1177/0300060517747489 DOI: https://doi.org/10.1177/0300060517747489
Salinas, F., García, R. y col. Resultados de la prostatectomía retropúbica abierta y adenomectomía prostática laparoscópica en 38 casos de hiperplasia prostática benigna tratados en el Hospital General del Estado de Sonora, Rev Mex Urol. 74(6):355---359, 2014.
https://doi.org/10.1016/j.uromx.2014.10.011 DOI: https://doi.org/10.1016/j.uromx.2014.10.011
Cornejo, V., Mayorga, E., y col. Papel de la adenomectomía transvesical en el manejo del crecimiento prostático obstructivo. Experiencia de 7 años de un solo centro en la ciudad de México, Rev Mex Urol. 75(1):14---19. 2015. https://doi.org/10.1016/j.uromx.2014.11.002 DOI: https://doi.org/10.1016/j.uromx.2014.11.002
Chen S, Zhu L, Cai J, et al. Plasmakinetic enucleation of theprostate compared with open prostatectomy for prostates larger than 100 grams: A randomized noninferiority controlledtrial with long-term results at 6 years. Eur Urol. 66:284---91. 2014.
https://doi.org/10.1016/j.eururo.2014.01.010 DOI: https://doi.org/10.1016/j.eururo.2014.01.010
Raimbault M, Watt S, Bourgoin H, y col. Comparative analysisof photoselective vaporization of the prostate with the Green-light laser and open prostatectomy for high volume prostatehypertrophy. Prog Urol. 24:470---6. 2014.
https://doi.org/10.1016/j.purol.2013.12.003 DOI: https://doi.org/10.1016/j.purol.2013.12.003
Ahyai SA, Chun FKN, Lehrich K, et al. Transurethral holmium lasser enucleation versus transurethral resection of the prostateand simple open prostatectomy----Which procedure is faster. JUrol. 187:1608---13, 2012.
https://doi.org/10.1016/j.juro.2011.12.107 DOI: https://doi.org/10.1016/j.juro.2011.12.107
Rieken, M. & Gratzke, C. Have We Really Abandoned Open Simple Prostatectomy Today?. European Urology, 66, 292-293. 2014.
https://doi.org/10.1016/j.eururo.2014.04.026 DOI: https://doi.org/10.1016/j.eururo.2014.04.026
European Association of Urology Guidelines Management of Non-Neurogenic Male Lower Urinary Tract Symptoms, pag. 31 a 31. 2019.
O.A. Castillo, E. Bolufer, G. López-Fontana, R. Sánchez-Salas, 24. A. Fonerón, I. Vidal-Mora, D. Degiovannia, R. Campos. (2011). Laparoscopic simple prostatectomy (adenomectomy): Experience in 59 consecutive patients. Actas Urológicas Españolas, 35, 435 a 437.
https://doi.org/10.4321/S0210-48062011000700010 DOI: https://doi.org/10.4321/S0210-48062011000700010
https://doi.org/10.1016/j.acuro.2011.01.013 DOI: https://doi.org/10.1016/j.acuro.2011.01.013
https://doi.org/10.1016/j.acuroe.2011.01.008 DOI: https://doi.org/10.1016/j.acuroe.2011.01.008
Shaheen A, Quinlan D. Feasibility of open simple prostatectomy with early vascular con¬trol. BJU Int 2004; 93, 349-52.
https://doi.org/10.1111/j.1464-410X.2003.04614.x DOI: https://doi.org/10.1111/j.1464-410X.2003.04614.x
P.E. Briant, R. Navarro, X. Matillon, A.C. Coste, E. Adam, D. Champetier, P. Perrin, A. Ruffion, M. Devonec. (2014). Millin adenomectomy in the era of laser enucleation: Results of a contemporary series of 240 consecutive cases. Progrès en urologie, 24, 379-389.
https://doi.org/10.1016/j.purol.2013.09.030 DOI: https://doi.org/10.1016/j.purol.2013.09.030
Ahmed M. Elshal , Ahmed R. El-Nahas, Tamer S. Barakat, Mohamed M. Elsaadany, Ahmed S. El-Hefnawy. (2013). Transvesical open prostatectomy for benign prostatic hyperplasia in the era of minimally invasive surgery: Perioperative outcomes of a contemporary series. Arab Journal of Urology , 11, 362-368. https://doi.org/10.1016/j.aju.2013.06.003 DOI: https://doi.org/10.1016/j.aju.2013.06.003
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