A short-term treatment outcome and its associated factors of transvesical prostatectomy among patients admitted with Benign Prostatic Hyperplasia at Wolaita Sodo University Comprehensive Specialized Hospital, Southern Ethiopia

Abstract

Benign prostatic hyperplasia is the commonest cause of urinary problems in elderly males, affecting their quality of life. Modalities of treatment include watchful waiting, medical treatment, surgical treatment like transurethral resection, and open prostatectomy. But the outcome and associated factors of prostatectomy among patients with benign prostatic hyperplasia at Wolaita Sodo University Comprehensive Specialized Hospital were not studied. To assess the short-term treatment outcomes and associated factors of transvesical prostatectomy (TVP) among patients admitted with benign prostatic hyperplasia (BPH) in Wolaita Sodo University Comprehensive Specialized Hospital. A facility-based cross-sectional study was conducted from October 1, 2022, to October 30, 2022, among 316 patients diagnosed with benign prostatic hyperplasia. The data were collected by reviewing medical records, entered into
EpiData version 3.1, and analyzed using SPSS version 25. Descriptive statistics were used to describe the data. A bi-variable and multivariable logistic regression analysis was used to identify factors associated with the outcome of transvesical prostatectomy. Adjusted odd ratio (AOR) (with a 95% confidence interval) was used to report association, and significance was declared at a P-value <0.05. Ninety-six percent (96.2%) of patients presented with severe symptoms, and 83.9% had pre-operation catheterization. The overall complication rate was 42.4%, and surgical site infection was 38.3%. Duration of symptoms [AOR = 9.05, 95% CI (2.16-37.88)] and type of skin incision [AOR = 18.98, 95% CI: 1.67–208.45] were significantly associated with complications of TVP. The complications seen in this study are higher than in other studies in Ethiopia and some other African countries. Duration of symptoms and type of skin incision were factors significantly associated with outcome. Improving community awareness about the nature of the disease and the importance of follow-up both before and after surgery is needed to minimize complications.