The immediate postoperative outcome of patients undergoing prostatectomy for benign prostatic hyperplasia at Kenyatta National Hospital

ABSTRACT

Objective: To describe the common postoperative complications of prostatectomy as

seen at Kenyatta National Hospital.

Materials and Methods: This is a prospective study of patients who underwent prostatectomy for benign prostatic hyperplasia at Kenyatta National Hospital between 6th October 2003 and 21st June 2004.

Main outcome measures: Age, co-morbidity, type of surgery, complications, reoperation, mortality, postoperative catheterisation, and duration of postoperative hospital stay.

Results: A total of eighty five patients participated in the study, and their average age was 66 years. Open prostatectomy was the more common type of prostatectomy accounting for 81 % of cases while transurethral resection accounted for 19 % of cases.

The most common intra-operative complication during prostatectomy was haemorrhage which occurred in ten patients (11.8 %).

The most common postoperative complication following prostatectomy was wound sepsis occurring in 24 patients (35 %, n=69). Other postoperative complications observed were urinary tract infection (15 %), clot retention (10 %), pyrexia (10 %), and pneumonia (8.2 %).

Three patients (4.4 %) required re-operation due to complications of postoperative wound sepsis.

One patient had perforation of the bladder during transurethral resection and required a laparotomy to repair the bladder.

Twenty six patients (30 %) had co- existing medical conditions. There was a significant association between wound sepsis and diabetes mellitus (p< 0.05).

The mean duration of postoperative catheterisation was 6.66 days. There was a significant difference in the duration of postoperative catheterisation between open prostatectomy and transurethral resection (p= 0.001).

The mean duration of postoperative hospital stay was 8.16 days.

There was a significant difference in the duration of postoperative hospital stay between open prostatectomy and transurethral resection (p= 0.001).

Conclusions: The duration of postoperative catheterisation and hospital stay are mainly determined by type of prostatectomy, and the presence of diabetes mellitus significantly increased the risk of developing postoperative wound sepsis.

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THE IMMEDIATE POSTOPERATIVE OUTCOME OF PATIENTS UNDERGOING PROSTATECTOMY FOR BENIGN PROSTATIC HYPERPLASIA AT KENYATTA NATIONAL HOSPITAL.pdf375.52 KB