Postoperative complications in patients with benign prostatic hyperplasia according to surgical technique

Abstract

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.

Keywords

• hiperplasia benigna de próstata
• resección transuretral prostática
• adenomectomía transvesical
• adenomectomía retropúbica.