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:	Luis Felipe Pérez Medina, Joselyn Madeleyne Becerra Anaya, Gerson Rommel Delgado Mejía
Formato:	article
Lenguaje:	ES
Publicado:	ECIMED 2021
Materias:	hiperplasia benigna de próstata resección transuretral prostática adenomectomía transvesical adenomectomía retropúbica. Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/31df91e6dee947659520cbac6e97924c
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spelling	oai:doaj.org-article:31df91e6dee947659520cbac6e97924c2021-11-30T13:31:08ZPostoperative complications in patients with benign prostatic hyperplasia according to surgical technique1561-3046https://doaj.org/article/31df91e6dee947659520cbac6e97924c2021-10-01T00:00:00Zhttp://www.revmedmilitar.sld.cu/index.php/mil/article/view/1615https://doaj.org/toc/1561-3046Introduction: 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.Luis Felipe Pérez MedinaJoselyn Madeleyne Becerra AnayaGerson Rommel Delgado MejíaECIMEDarticlehiperplasia benigna de próstataresección transuretral prostáticaadenomectomía transvesicaladenomectomía retropúbica.MedicineRMedicine (General)R5-920ESRevista Cubana de Medicina Militar, Vol 50, Iss 4, Pp e02101615-e02101615 (2021)
institution	DOAJ
collection	DOAJ
language	ES
topic	hiperplasia benigna de próstata resección transuretral prostática adenomectomía transvesical adenomectomía retropúbica. Medicine R Medicine (General) R5-920
spellingShingle	hiperplasia benigna de próstata resección transuretral prostática adenomectomía transvesical adenomectomía retropúbica. Medicine R Medicine (General) R5-920 Luis Felipe Pérez Medina Joselyn Madeleyne Becerra Anaya Gerson Rommel Delgado Mejía Postoperative complications in patients with benign prostatic hyperplasia according to surgical technique
description	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.
format	article
author	Luis Felipe Pérez Medina Joselyn Madeleyne Becerra Anaya Gerson Rommel Delgado Mejía
author_facet	Luis Felipe Pérez Medina Joselyn Madeleyne Becerra Anaya Gerson Rommel Delgado Mejía
author_sort	Luis Felipe Pérez Medina
title	Postoperative complications in patients with benign prostatic hyperplasia according to surgical technique
title_short	Postoperative complications in patients with benign prostatic hyperplasia according to surgical technique
title_full	Postoperative complications in patients with benign prostatic hyperplasia according to surgical technique
title_fullStr	Postoperative complications in patients with benign prostatic hyperplasia according to surgical technique
title_full_unstemmed	Postoperative complications in patients with benign prostatic hyperplasia according to surgical technique
title_sort	postoperative complications in patients with benign prostatic hyperplasia according to surgical technique
publisher	ECIMED
publishDate	2021
url	https://doaj.org/article/31df91e6dee947659520cbac6e97924c
work_keys_str_mv	AT luisfelipeperezmedina postoperativecomplicationsinpatientswithbenignprostatichyperplasiaaccordingtosurgicaltechnique AT joselynmadeleynebecerraanaya postoperativecomplicationsinpatientswithbenignprostatichyperplasiaaccordingtosurgicaltechnique AT gersonrommeldelgadomejia postoperativecomplicationsinpatientswithbenignprostatichyperplasiaaccordingtosurgicaltechnique
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Postoperative complications in patients with benign prostatic hyperplasia according to surgical technique

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