Postoperative complications in patients with benign prostatic hyperplasia according to surgical technique
Introduction: Benign prostate hyperplasia has a high prevalence in people over 50 years of age. In those who fail or is poorly tolerated medical treatment, surgery is considered. Objective: To analyze postoperative complications in patients operated on for benign prostatic hyperplasia, according to...
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| Autores principales: | , , |
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| Formato: | article |
| Lenguaje: | ES |
| Publicado: |
ECIMED
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/31df91e6dee947659520cbac6e97924c |
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| Sumario: | Introduction: Benign prostate hyperplasia has a high prevalence in people over 50 years of age. In those who fail or is poorly tolerated medical treatment, surgery is considered.
Objective: To analyze postoperative complications in patients operated on for benign prostatic hyperplasia, according to different techniques.
Methods: 161 medical records of patients 60 years of age or older, with a diagnosis of benign prostatic hyperplasia, who underwent surgery with the techniques: open transvesical, retropubic and monopolar endoscopic adenomectomy were analyzed.
Results: The variation of hemoglobin ≥ 3mg / dl, with the transvesical technique was 17% and with the retropubic one 27,3 %. The time of bladder catheterization ≤ 4 days in the transvesical one 48,9 %; > 4 to <7 days in the retropubic in 59,1 % and ≤ 4 days in the monopolar endoscopic 68,5 %. The hospital stay ≥ 5 days, in the transvesical 51,1 % and in the retropubic 59.9%; from 1 to <3 days, with the monopolar endoscopic, 58,7 %. Urinary tract infection was more frequent with transvesical (31,9 %), surgical site infection (17 %); while epididymo-orchitis was more frequent in retropubic (40,9 %). Monopolar prostatic transurethral post-resection syndrome appeared in 17,4 % of those operated on.
Conclusion: Retropubic adenomectomy was the surgical technique with the highest frequency of complications and transurethral resection the least frequent. Acute retention of urine by retropubic technique was the most frequent complication. |
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