Comparative evaluation of different methods of surgery in patients with benign prostatic hyperplasia large

Abstract

This paper presents the results of different removal methods of the prostate in 122 patients with benign prostatic hyperplasia in larger sizes (80 ml). The perioperations data of extraperitoneoscopic, traditional simple prostatectomy (EP, TTP and RP) and TUR were analyzed. The results of blood loss, time of activation, the uses of analgesics, time of irrigation, Hb dinamic, duration of catheterization and hospital stay after the TP were worse compared to other methods. EP has long operation time however short time duration of catheterization and hospital stay, and the minimal use of analgesics make this method more feasible. TUR and RP demonstrate better results in many parameters. It was revealed that early and late postoperative complications were more common in patients after TUR – 93.2 % and traditional prostatectomy (TTP) – 65 %, compared to the RP and EP – 20.5 % and 41.9 %, respectively.

Keywords

• benign prostatic hyperplasia
• traditional simple prostatectomy
• extraperitoneoscopic adenomectomy
• transurethral resection of prostate