Emergency transvesical prostatectomy: A review of fifty cases

Abstract

Objective: To retrospectively study patients with benign prostatic enlargement who had emergency transvesical prostatectomy in order to determine the patterns in their presentation, management and outcome. This may guide future decisions in the management of such cases in a resource poor environment.
Patients and Method: Fifty patients who presented to the authors with benign prostatic enlargement and who had emergency transvesical prostatectomy over a fifteen-year period were studied retrospectively. The data collected included age, indications for surgery, associated medical conditions, investigations done, perioperative blood transfusions, weights and configurations of the enucleated prostate adenomata, duration of postoperative hospital stay, and postoperative complications.
Result: The indications for the emergency transvesical prostatectomy were severe prostatic haematuria which was refractory, and recalcitrant clot and urinary retention from prostatic haematuria. The peri-operative blood transfusion was 3.40 (SD 0.49) units per patient. There were postoperative complications in 40% of patients, and 62% had associated medical conditions
Conclusion: Emergency transvesical prostatectomy is expedient when precisely indicated and properly done. There is rarely an added risk when compared with elective operation.

Keyword: Emergency, Tranvesical prostatectomy, Prostatic Haematuria