Associate Professor of Surgery, Consultant in Urology, Addis Ababa University, College of Health Sciences, Ethiopia.
Urologist, Menilik II Hospital; Addis Ababa Ethiopia.
Ethiop J Health Sci. 2020 Sep;30(5):733-738. doi: 10.4314/ejhs.v30i5.12.
Benign Prostatic hyperplasia is a very common problem in aging men. TURP comprises 95% of all surgical procedures and is the treatment of choice for prostates sized between 30ml and 80-100ml. Open surgery is the treatment of choice for large glands (bigger than 80-100ml) and for those with associated complications that have indication for open surgery. Many literatures show that the overall patient satisfaction rate and clinical outcome of TURP for BPH are very good. The objective of this study was 'assessing the level of patient satisfaction after undergoing TURP and TVP for BPH.
In this research, convenient sampling technique was used. The study design was prospective cohort study. Standardized questioner was prepared in English and later translated into Amharic. Information about demographic characteristics, preoperative data, intraoperative data, and immediate postoperative data were taken while the patient was in the hospital. At the first and the third months after the prostatectomy, patients were inquired on their level of satisfaction about their disease specific satisfaction on the urinary function and their sexual function. We used HCAHPS Measure of Patient Satisfaction Tool, to collect data and analyzed using SPSS version 18.
A total of 89 patients were enrolled in the study among which 65.2% had undergone TURP. The rate of major perioperative complication was found to be low. Over half of the patients had postoperative hospital stay of three or less days. Majority of the patients were satisfied with the care given by the nurses (68.2%) and doctors (84.3%) with relatively higher physicians' care satisfaction level. More than 60% of the patients were highly satisfied with their urinary surgical outcome. With regard to hospital environment, around 60% of the patients reported that they were very satisfied with cleanliness of the rooms, bath rooms and the quietness of the rooms at night.
Both TURP and TVP have high level of patient satisfaction associated with low perioperative major complications. Therefore both can be recommended for patients with clear indications for prostatectomy.
良性前列腺增生是老年男性中非常常见的问题。TURP 占所有手术的 95%，是前列腺大小在 30ml 至 80-100ml 之间的首选治疗方法。对于大于 80-100ml 的大腺体和有开放手术指征的患者，开放手术是首选治疗方法。许多文献表明，TURP 治疗 BPH 的总体患者满意度和临床效果非常好。本研究的目的是“评估接受 TURP 和 TVP 治疗 BPH 后的患者满意度水平。”
在这项研究中，使用了便利抽样技术。研究设计为前瞻性队列研究。准备了一份英文标准化问卷，然后翻译成阿姆哈拉语。在患者住院期间，收集了人口统计学特征、术前数据、术中数据和术后即刻数据。在前列腺切除术后第一个月和第三个月，询问患者对疾病特异性满意度（尿功能和性功能）的满意度。我们使用 HCAHPS 患者满意度测量工具收集数据，并使用 SPSS 版本 18 进行分析。
共有 89 名患者入组，其中 65.2%接受了 TURP。主要围手术期并发症的发生率较低。超过一半的患者术后住院时间为三天或更短。大多数患者对护士（68.2%）和医生（84.3%）的护理非常满意，医生的护理满意度水平相对较高。超过 60%的患者对他们的手术结果非常满意。关于医院环境，约 60%的患者报告说，他们对房间、浴室的清洁度和夜间房间的安静程度非常满意。
TURP 和 TVP 都有很高的患者满意度，且围手术期主要并发症发生率较低。因此，对于有明确前列腺切除术指征的患者，都可以推荐使用。
