RETROPUBIC PROSTATECTOMY IN 96 PATIENTS IN SOBA UNIVERSITY HOSPITAL

  • Sami Mahjoub Taha General surgeon, university of Gezira ,Faculty of Medicine
  • Abd ElRaouf Sharfee Urologist,U of K, Faculty of Medicine
  • Gamal Mustafa General surgeon, university of Gezira ,Faculty of Medicine

Abstract

Background: Retropubic prostatectomy(RPP), is a good treatment option for  men with symptomatic bladder outlet obstruction caused by large size prostate.


Objective: To determine the intraoperative, early and late postoperative complications of retropubic prostatectomy.


Methods :This is a retrospective, small-scale hospital based study conducted in Soba University Hospital, Sudan. We include 96 patients, from Jan 2003 to Jan 2008 who underwent RPP.


Results: The mortality rate was zero. Retrograde ejaculation in 50.1% , clot retention due to catheter block in 36.5% and transient urinary incontinence in 24%,  all were improved within the first three months postoperatively and intraoperative bleeding was reported in 9 patients (10%). Erectile dysfunction in 7.5% , wound  infection in 6.3% , urethral stricture  in 5.2% ,urine leakage in  4.2% and injury to adjacent  structures(peritoneum–bowel) was not reported.


 Conclusion: The complications of retropubic prostatectomy  in Soba Hospital was found to be comparable to the literature.

References

Baek M, Paick SH, Lee BK, Kang MB, Lho YS, Jung SI, et al. The efficacy of bipolar transurethral resection of the prostate in patients with large prostates (>80 g) and analysis of the postoperative results based on the resection ratio. Korean J Urol. 2008;49:1087–1093.
2. Baumert H, Ballaro A, Dugardin F, Kaisary AV. Laparoscopic versus open simple prostatectomy: a comparative study. J Urol. 2006;175:1691–1694. [PubMed]
3.Sotelo R, Spaliviero M, Garcia-Segui A, Hasan W, Novoa J, Desai MM, et al.
Laparoscopic retropubic simple prostatectomy. J Urol. 2005;173:757–760. [PubMed]
4. Han M, Partin AW. Retropubic and suprapubic open prostatectomy. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors. Campbell-Walsh urology. 9th ed. Philadelphia: Saunders; 2007. pp. 2845–2853.
5. van Velthoven R, Peltier A, Laguna MP, Piechaud T. Laparoscopic extraperitoneal adenomectomy (Millin): pilot study on feasibility. Eur Urol. 2004;45:103–109. [PubMed]
6.Gacci et al., 2003. Gacci M, Bartoletti R, Figlioli S, et al: Urinary symptoms, quality of life and sexual function in patients with benign prostatic hypertrophy before and after prostatectomy: A prospective study. BJU Int 2003; 91:196-200.
7. McConnell et al., 1994. McConnell JD, Barry MJ, Bruskewitz RC, et al: Benign prostatic hyperplasia: Diagnosis and treatment. Agency for Health Care Policy and Research. Clin Pract Guidel Quick Ref Guide Clin 1994;1-17.
8. Serretta et al. Serretta V, Morgia G, Fondacaro L, et al: Open prostatectomy for benign prostatic enlargement in southern Europe in the late 1990s: A contemporary series of 1800 interventions. Urology 2002; 60:623-627.
9. Varkarakis et al., 2004. Varkarakis I, Kyriakakis Z, Delis A, et al: -term results of open Suprapubic prostatectomy from a contemporary series of patients. Urology 2004; 64:306-310.
10. Walsh and Oesterling, . Walsh PC, Oesterling JE: Improved hemostasis during simple retropubic prostatectomy. J Urol 1990; 143:1203-1204.
11. Min KS, Lee MS.Clinical observation in benign prostatic hyperplasia .Korean J-Urol 2004 April 21 (2) 147 -154
12. MoslemiMK,Abdedin Zadeh M.Modified technique of simple prostatectomy.Qom- Iran.Urology J 2010 135:212–010
13. J Zargooshi . retropubic prostatectomy: Immediate and postoperative complications ., Kermanshah, Iran. ) Vol. 10 Issue 4 Pg. 374-7 ( 2007) ISSN: 1476-5608 England .
14. Melissari M, Lopez Beltran A, Mazzucchelli R, et al. Advances in the Treatment of Lower Urinary Tract Symptoms and Benign Prostatic Hyperplasia .Rome, Italy. Rev Urol. 2006 Fall; 8(4): 216–225. .
15. Kiptoon DK, Magoha GA, Owillah FAMeru, Early postoperative outcomes of patients undergoing prostatectomy for benign prostatic hyperplasia at Kenyatta National Hospital, Nairobi East Africamedical jouornal (East Afri Med J).2007 sep,nol(issue 9suppl); pps40-4 .
16. Trivedi VD –Lokmanya Tilak. A prospective study of the safety and efficacy of retropubic prostatectomy in patients with benign prostatic hyperplasia .Mumbai–Indian Online since Januray,2006. J Urol 2001; 166:172-176.
Published
2011-06-01
How to Cite
MAHJOUB TAHA, Sami; SHARFEE, Abd ElRaouf; MUSTAFA, Gamal. RETROPUBIC PROSTATECTOMY IN 96 PATIENTS IN SOBA UNIVERSITY HOSPITAL. Gezira Journal of Health Sciences, [S.l.], v. 7, n. 1, june 2011. ISSN 1810-5386. Available at: <http://37.60.236.48/index.php/gjhs/article/view/281>. Date accessed: 03 june 2026.
Section
Articles