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

Abstract

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 .

References

1.      Walsh P., Campbell’s urology 8th edition

2.      Dull, P., R. Reagan, R. Bahnson, Practical therapeutic, Benign prostatic hyperplasia, American family physician 66 (July/2002)

3.      Mile, B, et al. Open prostatectomy

http/www.emedicine.com/med/topic3041htm

Corresponding Author

Dr Banamali Nath

M.S. MNAMS FAIS (Surgery)

Asst. Prof, (Surgery), R D Gardi Medical College and CR Gardi Hospital, Ujjain, MP