Mbaeri Timothy Uzoma, Abiahu Joseph Amauzo, Obiesie Emmanuel Ahuizechukwu, Odo Chinonso, Oranusi Kingsley Chidi, Nwofor Alexander Maduaburochukwu Ekwunife, Orakwe Jideofor Chukwuma
Department of Surgery, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria.
Niger J Surg. 2020 Jul-Dec;26(2):142-146. doi: 10.4103/njs.NJS_20_20. Epub 2020 Jul 27.
Benign prostatic hyperplasia is one of the most common diseases in aging males. For men that need surgical treatment, transurethral resection of the prostate (TURP) is the gold standard. The aim of this article is to retrospectively review the complications of TURP over a 3-year period in Nnamdi Azikiwe University Teaching Hospital Nnewi and a Specialist Urology Center in Awka all in Anambra South-East Nigeria using Clavien-Dindo classification.
The study was a retrospective review of consecutive TURPs done over a 3-year period. Patients' information and complications arising from the procedure were collected and graded using the Clavien-Dindo classification with a pro forma designed for the study and analyzed with the Statistical Package for the Social Sciences software version 20.0.
Ninety-seven patients had TURP during the period of this study. Twenty-nine complications were noted in 24 patients. The postoperative morbidity rate was 24.74%, and no mortality was recorded. Most of the complications were grade 2 (55%), followed by grade 1 and 3 (20.69%) each. Grade 4a complication accounted for only 3.45%. No grade 5 complication was recorded.
TURP is safe, with minimal life-threatening morbidity even in a resource-poor economy where TURP is gradually gaining grounds.
良性前列腺增生是老年男性最常见的疾病之一。对于需要手术治疗的男性，经尿道前列腺切除术（TURP）是金标准。本文旨在回顾尼日利亚东南部阿南布拉州纳姆迪·阿齐克韦大学教学医院纽维分院和阿库瓦一家专业泌尿外科中心3年内TURP的并发症，并采用Clavien-Dindo分类法进行分析。
本研究是对连续3年进行的TURP手术的回顾性研究。使用为该研究设计的表格收集患者信息和手术引起的并发症，并根据Clavien-Dindo分类法进行分级，然后使用社会科学统计软件包20.0版进行分析。
在本研究期间，97例患者接受了TURP手术。24例患者出现29种并发症。术后发病率为24.74%，无死亡病例记录。大多数并发症为2级（55%），其次是1级和3级（各占20.69%）。4a级并发症仅占3.45%。无5级并发症记录。
即使在资源匮乏的经济体中，TURP正逐渐普及，该手术也是安全的，危及生命的发病率极低。
