Suprapubic transvesical prostatectomy in a rural Kenyan hospital.

Abstract

OBJECTIVE:

To evaluate the effectiveness, safety and complications of suprapubic transvesical prostatectomy in a rural Kenyan hospital.

DESIGN:

A prospective audit of suprapubic transvesical prostatectomy.

SETTING:

Africa Inland Church, Kijabe Hospital, Kijabe, Kenya.

SUBJECTS:

One hundred and six men with lower urinary tract obstruction, clinically due to benign prostatic hyperplasia, undergoing suprapubic transvesical prostatectomy.

INTERVENTIONS:

Suprapubic prostatectomy.

MAIN OUTCOME MEASURES:

Age, presentation, comorbidity, type of anaesthesia, pathology, bladder irrigation time, Foley time, post-operative stay, complications-mortality, blood transfusion rate, return to theatre for bleeding, incontinence, urine leak, urinary retention.

RESULTS:

One hundred and six men entered the study with a mean age of 72.8 years. Seventy eight per cent were in retention and 25% had significant medical problems. Spinal anaesthesia was used in 94%. The mean prostate weight was 70.4 g and 11% had carcinoma. The Foley's catheter was removed at a mean of 4.2 days after surgery and the mean post-operative stay was 6.0 days. The 30 day mortality was 0.9%, the blood transfusion rate was 4.7%, the return to theatre for bleeding rate was 0.9% and 4.7% of patients developed a urine leak.

CONCLUSION:

Suprapubic transvesical prostatectomy, performed under spinal anaesthetic, by general surgeons in rural Kenya, is a safe and effective way of managing benign prostatic hyperplasia and its complications.

• Authors: A G Hill, P Njoroge
• Journal: East African medical journal (East Afr Med J) Vol. 79 Issue 2 Pg. 65-7 (Feb 2002) ISSN: 0012-835X [Print] Kenya
• PMID: 12380878 (Publication Type: Journal Article)

Topics

• Aged
• Follow-Up Studies
• Hospitals, Rural
• Humans
• Kenya
• Male
• Prostatectomy (methods)
• Prostatic Hyperplasia (surgery)