Title: Study of Morbidity and Mortality of Suprapubic Prostatectomy in 60 Patients
Authors: Dr Banamali Nath M.S. MNAMS FAIS (Surgery), Dr Alok Dixit
DOI: http://dx.doi.org/10.18535/jmscr/v4i4.28
The aim of this study was to ensure the success rate of operation by the old procedure. 60 patients were diagnosed with benign prostatic hypertrophy. · The patients were studied from September 2014 to September 2015. All 60 patients had undergone suprapubic prostatectomy in 1 stage procedure. 2 patients in this series were having type 2 Diabetes mellitus. · All 60 patients were having mild to moderate hypertension. 10 patients were having ischaemic heart disease and 10 patients suffered from vesical calculus. · 50 patients suffered from UTI. · The youngest patient in this series was 45 years old. · Post operatively all patients were administered injection ampicillin and gentamycin till culture and sensitivity report of urine was received. · Operation time of suprapubic prostatectomy was 45 to 60 min. · In our series, there were no reactionary hemorrhage or secondary hemorrhage. · One patient suffered from clot retention. · 10 patients suffered from wound infection. · In 5 patients urinary incontinence was found. Within 15 days the incontinence was relieved after perineal exercises. · The duration of hospital stay was 12 to 15 days. · Urinary fistula was found in 10 patients in our series and later relieved after 15 days. · Packing of prostatic fossa with povidone iodine soaked ribbon gauze was the routine procedure in suprapubic prostatectomy for haemostasis. · The packing was removed after 48 hours. KEY WORDS: Supra pubic prostatectomy ,morbidity & mortality .
Abstract