Ahmed Gadam Ibrahim, Nuhu Ali, Aliyu Suleiman
Department of Surgery, University of Maiduguri Teaching Hospital, PMB 1414, Borno State, Maiduguri, Nigeria ; Department of Surgery, College of Medical Sciences, University of Maiduguri, Nigeria.
ISRN Urol. 2012;2012:406872. doi: 10.5402/2012/406872. Epub 2012 Nov 27.
Background. Benign prostatic hyperplasia is the most common cause of lower urinary tract obstruction in the elderly male. Aim. To evaluate the effectiveness, safety, and outcome of open prostatectomy in a Nigerian teaching hospital. Material and Methods. Two hundred and fifty-three men with lower urinary tract obstruction clinically due to benign prostatic hyperplasia (BPH) underwent open prostatectomy over a ten-year period (January 2001-December 2010). Data on patients including age, clinical, laboratory, and histology were reviewed and analyzed to determine treatment outcome. Results. A total of 253 patients were studied. Their mean age was 69.11 ± 10.9 years (range 50-98). The most common symptoms at presentation included frequency 229 (90.5%) and poor stream 225 (88.9%). The most common complications at presentation were stones in 41 (16.2%) and bleeding in 37 (14.6%). The most common comorbid conditions were hypertension and diabetes found in 72 (28.5%) and 23 (9.1%), respectively. Transvesical prostatectomy was done for most of the patients, 126 (49.8%). Clot retention and wound infection were the commonest postoperative complications accounting for 19 (7.5%) each. Transient incontinence occurred in 17 (6.7%) patients. There was 1 (0.4%) mortality. Conclusion. Open prostatectomy still has a prime place in the operative treatment of BPH with acceptable postoperative morbidity and very low mortality in the developing world with no facilities for TURP.
背景。良性前列腺增生是老年男性下尿路梗阻最常见的原因。目的。评估在一家尼日利亚教学医院进行开放性前列腺切除术的有效性、安全性和结果。材料与方法。在十年期间（2001年1月至2010年12月），253名临床上因良性前列腺增生（BPH）导致下尿路梗阻的男性接受了开放性前列腺切除术。对包括年龄、临床、实验室和组织学在内的患者数据进行回顾和分析，以确定治疗结果。结果。共研究了253名患者。他们的平均年龄为69.11±10.9岁（范围50 - 98岁）。就诊时最常见的症状包括尿频229例（90.5%）和尿流缓慢225例（88.9%）。就诊时最常见的并发症是结石41例（16.2%）和出血37例（14.6%）。最常见的合并症分别是高血压72例（28.5%）和糖尿病23例（9.1%）。大多数患者（126例，49.8%）进行了经膀胱前列腺切除术。血块潴留和伤口感染是最常见的术后并发症，各占19例（7.5%）。17例（6.7%）患者出现短暂性尿失禁。有1例（0.4%）死亡。结论。在没有经尿道前列腺切除术（TURP）设备的发展中国家，开放性前列腺切除术在BPH的手术治疗中仍占据重要地位，术后发病率可接受，死亡率极低。
