Meier D E, Tarpley J L, Imediegwu O O, Olaolorun D A, Nkor S K, Amao E A, Hawkins T C, McConnell J D
Department of Surgery, Baptist Medical Centre, Ogbomoso, Nigeria.
Urology. 1995 Jul;46(1):40-4. doi: 10.1016/S0090-4295(99)80156-3.
To assess the appropriateness of the technique of suprapubic prostatectomy using a removable bladder neck partition suture for use in a developing world hospital and to provide contemporary open prostatectomy outcome data currently lacking in the world's literature.
From 1984 to 1994, 240 consecutive patients presenting to a developing world hospital with acute urinary retention underwent suprapubic prostatectomy using a removable bladder neck partition suture. The average length of time from bladder decompression until operation was 2.5 months. The outcome of these cases was retrospectively analyzed.
The overall early complication rate was 19.6%. There were no deaths. The transfusion rate was 4.6%. Clot retention occurred in 6.7%, and 2.9% required return to the operating room for evaluation. For the second half of the series, the early complication rate decreased to 8.3%, the clot retention rate to 0.8%, and the transfusion rate to 1.7%. Other early and late complications were minimal. The length of delay from decompression until operation did not affect outcome.
The technique of suprapubic prostatectomy using a removable bladder neck partition suture is appropriate for use in developing world hospitals because of its low morbidity and mortality rates. The outcome in this contemporary series of open prostatectomy cases compares favorably with the outcome from reported contemporary transurethral resection of the prostate (TURP) series. These data demonstrate that suprapubic prostatectomy is an acceptable option when the patient's anatomy or the state of local medical facilities precludes TURP.
评估使用可拆除膀胱颈分隔缝线的耻骨上前列腺切除术技术在发展中国家医院应用的适宜性，并提供目前世界文献中缺乏的当代开放性前列腺切除术的结果数据。
1984年至1994年，连续240例因急性尿潴留到一家发展中国家医院就诊的患者接受了使用可拆除膀胱颈分隔缝线的耻骨上前列腺切除术。从膀胱减压到手术的平均时间为2.5个月。对这些病例的结果进行回顾性分析。
总体早期并发症发生率为19.6%。无死亡病例。输血率为4.6%。血块潴留发生率为6.7%，2.9%的患者需要返回手术室进行评估。在该系列的后半期，早期并发症发生率降至8.3%，血块潴留率降至0.8%，输血率降至1.7%。其他早期和晚期并发症极少。从减压到手术的延迟时间不影响结果。
使用可拆除膀胱颈分隔缝线的耻骨上前列腺切除术技术因其低发病率和死亡率而适用于发展中国家医院。该当代开放性前列腺切除术系列病例的结果与报道的当代经尿道前列腺电切术（TURP）系列结果相比具有优势。这些数据表明，当患者的解剖结构或当地医疗设施状况不适合TURP时，耻骨上前列腺切除术是一个可接受的选择。
