Kiptoon D K, Magoha G A O, Owillah F A
Meru District Hospital, Nairobi, Kenya.
East Afr Med J. 2007 Sep;84(9 Suppl):S40-4. doi: 10.4314/eamj.v84i9.9561.
To describe early postoperative complications of prostatectomy.
A descriptive prospective study.
Kenyatta National Hospital between 6th October 2003 and 21st June 2004.
Eighty five men undergoing prostatectomy for the relief of lower urinary tract obstruction due to benign prostatic hyperplasia. Procedures included suprapubic transvesical prostatectomy, retropubic prostatectomy and transurethral resection of the prostate (TURP).
Co-morbidity, intra-operative and early postoperative complications, need for re-operation, 30-day mortality, duration of postoperative catheterisation, and duration of postoperative hospital stay.
Eighty five patients were included in the study and their age range was 46-85 years (mean 66 years). Sixty nine (81%) of the patients underwent open prostatectomy, and sixteen (19%) underwent TURP. Twenty six patients had co-existing medical conditions, the most common being hypertension (29%) and diabetes mellitus (13%). The most common intra-operative complication during prostatectomy was haemorrhage which occurred in ten patients (11.8%). One patient had perforation of the bladder during transurethral resection and required a laparotomy to repair the bladder. Wound sepsis was the most common postoperative complication following open prostatectomy (35%, n = 69), and an association was found between wound sepsis and diabetes mellitus. Complications common to both open prostatectomy and TURP were urinary tract infection (15%), clot retention (10%), pyrexia (10%) and pneumonia (8.2%). Three patients (4.4 %) required re-operation due to complications related to wound sepsis. The duration of postoperative catheterisation ranged from 1-14 days (mean 6.66 days) while postoperative hospital stay ranged from 3-24 days (mean 8.16 days). There was no postoperative mortality at 30 days.
Open prostatectomy is the most performed procedure for the relief of lower urinary tract obstruction due to benign prostatic hyperplasia at Kenyatta National Hospital. Wound sepsis is the commonest early postoperative complication and the presence of diabetes mellitus significantly increases the risk of development of wound sepsis.
描述前列腺切除术后的早期并发症。
一项描述性前瞻性研究。
2003年10月6日至2004年6月21日期间的肯雅塔国家医院。
85名因良性前列腺增生导致下尿路梗阻而接受前列腺切除术的男性。手术包括耻骨上经膀胱前列腺切除术、耻骨后前列腺切除术和经尿道前列腺电切术（TURP）。
合并症、术中及术后早期并发症、再次手术需求、30天死亡率、术后导尿持续时间和术后住院时间。
85名患者纳入研究，年龄范围为46 - 85岁（平均66岁）。69名（81%）患者接受开放性前列腺切除术，16名（19%）患者接受TURP。26名患者有并存疾病，最常见的是高血压（29%）和糖尿病（13%）。前列腺切除术中最常见的术中并发症是出血，10名患者（11.8%）发生。1名患者在经尿道切除术中膀胱穿孔，需要开腹修复膀胱。伤口感染是开放性前列腺切除术后最常见的术后并发症（35%，n = 69），且发现伤口感染与糖尿病之间存在关联。开放性前列腺切除术和TURP共有的并发症是尿路感染（15%）、血块潴留（10%）、发热（10%）和肺炎（8.2%）。3名患者（4.4%）因与伤口感染相关的并发症需要再次手术。术后导尿持续时间为1 - 14天（平均6.66天），术后住院时间为3 - 24天（平均8.16天）。30天无术后死亡。
在肯雅塔国家医院，开放性前列腺切除术是因良性前列腺增生导致下尿路梗阻时最常施行的手术。伤口感染是最常见的术后早期并发症，糖尿病的存在显著增加伤口感染发生的风险。
