Treatment of benign prostatic hyperplasia at Mater Hospital, Nairobi

Authors: Oliech JS.
Abstract
OBJECTIVE:
To evaluate the use of medical therapy in the management of patients with mild, moderate and
severe symptoms of benign prostatic hyperplasia.
DESIGN:
Prospective study.
SETTING:
Private urology clinic in Mater Hospital, Nairobi between 1995 and 2005.
PATIENTS:
Six hundred and eighty patients with benign prostatic hypertrophy aged 50-80 years.
RESULTS:
Two hundred and eighty (43.8%) patients benefited from the drug treatment alone and were
released from the clinic follow up after five years. Two hundred and seventy (42.2%) cases could
not complete the five years follow up on drugs alone due to symptoms recurrence or severity or
unavailability of drugs. They were removed from the drugs alone treatment and put on other
interventions. Ninety (15.9%) cases were operated on based on their decision and insistence or
severity of their symptoms or no drugs response.
CONCLUSIONS:
This observational study confirms that medical treatment is beneficial in the management of
benign prostatic hyperplasia (BPH) and is cheap and gives better first line option of treatment
choice to many patients. It also gives hopes to the surgical risk patients. The quality of life (QOL)
of patients and their family disturbance is also improved.
East Afr Med J. 2007 Dec; 84(12):556-60. PubMed PMID: 18402306.

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