Urology Annals

ORIGINAL ARTICLE
Year
: 2016  |  Volume : 8  |  Issue : 2  |  Page : 213--217

Cystostomy–free open suprapubic transvesical prostatectomy: Is it a safe method?


Abbas Hassanpour1, Mohammad Mehid Hosseini1, Alireza Yousefi2, Reza Inaloo2 
1 Department of Urology, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Surgery, Peymanieh Hospital, Jahrom University of Medical Sciences, Jahrom, Iran

Correspondence Address:
Abbas Hassanpour
Department of Urology, Faghihi Hospital, Zand Ave, Shiraz University of Medical Sciences, Shiraz
Iran

Aim: To compare open suprapubic transvesical prostatectomy (OSP) without insertion of suprapubic cystostomy, OSP with insertion of cystostomy, and transurethral resection of the prostate (TURP). Patients and Methods: A total of 104 patients with an indication for prostatectomy were retrospectively assigned to TURP (group 1), OSP with cystostomy (group 2), and OSP without cystostomy (group 3). They were evaluated for length of the operation, length of hospital stay, post-operative complications, hemoglobin drop, changes of blood pressure, and intraoperative blood loss. Results: Mean age was 67.2 ± 8.7 in group 1, 73.3 ± 8.4 in group 2, and 74.0 ± 5.7 in group 3. Prostatic volume was 35.9 ± 13.8, 74.1 ± 33.8, and 74.3 ± 31.8 in groups 1, 2, and 3, respectively. There was no significant difference in prostatic volume between groups 2 and 3 (P = 0.99), but in group 1 it was lesser than groups 2 and 3 (P = 0.00). Length of the operation was 1.2 ± 0.2 in group 3 and 1.1 ± 0.2 in group 2, without a significant difference (P = 0.45). Length of hospital stay in group 3 (2.3 ± 0.4 days) was lesser than that in group 2 (2.6 ± 0.7) (P = 0.01). The amount of hemoglobin drop was 1.1 ± 0.9 in group 1, 1.1 ± 0.7 in group 2, and 1.4 ± 0.91 in group 3 without a significant difference between all groups. The amount of bleeding during operation was 173 ± 103 in group 2 and 161 ± 78 in group 3 (P = 0.98). Conclusion: OSP without insertion of cystostomy tube is a relatively safe method; however, larger studies are needed. It is also comparable to TURP in terms of postoperative efficacy and complications.


How to cite this article:
Hassanpour A, Hosseini MM, Yousefi A, Inaloo R. Cystostomy–free open suprapubic transvesical prostatectomy: Is it a safe method?.Urol Ann 2016;8:213-217


How to cite this URL:
Hassanpour A, Hosseini MM, Yousefi A, Inaloo R. Cystostomy–free open suprapubic transvesical prostatectomy: Is it a safe method?. Urol Ann [serial online] 2016 [cited 2021 Oct 21 ];8:213-217
Available from: https://www.urologyannals.com/article.asp?issn=0974-7796;year=2016;volume=8;issue=2;spage=213;epage=217;aulast=Hassanpour;type=0