Background: Bladder outlet obstruction, common in older men, shows increased detrusor pressure and reduced urine flow during voiding. Diagnosis typically involves studying flow-rate and detrusor pressure values. Transvesical prostatectomy is a common treatment for significant prostatic enlargement, but real-world outcome data are scarce. Objective: To assess symptomatic improvement, changes in urinary incontinence and complications after transvesical prostatectomy for benign prostatic hyperplasia. Methods: Prospective cross-sectional study design was used and SPSS statistical software version 25 was used for data entry and analysis. Results: The mean age of patients with benign prostatic hyperplasia was 64.73±8.7 years. Preoperative international prostate symptoms score (IPSS) was 27.6±3.08. At 3 months, IPSS declined significantly to 8.13±2.86 (p<0.001). Preoperative incontinence completely resolved in 30% and partially improved in 70% of patients. New onset incontinence occurred in 13.5%. At 6 months, IPSS was 5.67±2.31. Of those with new postoperative incontinence, 42.9% completely resolved and 57.1% improved. For preoperative incontinence, 71.4% completely resolved and 28.6% partially improved. Erectile function failed to improve. Conclusion: The study showed trans-vesical prostatectomy results promising results in lower urinary tract symptoms improvement. Post-op incontinence got better for most, but erectile function didn't return to normal.
Published in | Science Journal of Clinical Medicine (Volume 13, Issue 2) |
DOI | 10.11648/j.sjcm.20241302.11 |
Page(s) | 21-28 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Benign Prostatic Hyperplasia, Bladder Outlet Obstruction, Trans-Vesical Prostatectomy
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APA Style
Gebremichael, N., Abdissa, M., Amtataw, W., Endazenaw, G. (2024). Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia . Science Journal of Clinical Medicine, 13(2), 21-28. https://doi.org/10.11648/j.sjcm.20241302.11
ACS Style
Gebremichael, N.; Abdissa, M.; Amtataw, W.; Endazenaw, G. Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia . Sci. J. Clin. Med. 2024, 13(2), 21-28. doi: 10.11648/j.sjcm.20241302.11
AMA Style
Gebremichael N, Abdissa M, Amtataw W, Endazenaw G. Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia . Sci J Clin Med. 2024;13(2):21-28. doi: 10.11648/j.sjcm.20241302.11
@article{10.11648/j.sjcm.20241302.11, author = {Niyat Gebremichael and Michael Abdissa and Wondwossen Amtataw and Getabalew Endazenaw}, title = {Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia }, journal = {Science Journal of Clinical Medicine}, volume = {13}, number = {2}, pages = {21-28}, doi = {10.11648/j.sjcm.20241302.11}, url = {https://doi.org/10.11648/j.sjcm.20241302.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20241302.11}, abstract = {Background: Bladder outlet obstruction, common in older men, shows increased detrusor pressure and reduced urine flow during voiding. Diagnosis typically involves studying flow-rate and detrusor pressure values. Transvesical prostatectomy is a common treatment for significant prostatic enlargement, but real-world outcome data are scarce. Objective: To assess symptomatic improvement, changes in urinary incontinence and complications after transvesical prostatectomy for benign prostatic hyperplasia. Methods: Prospective cross-sectional study design was used and SPSS statistical software version 25 was used for data entry and analysis. Results: The mean age of patients with benign prostatic hyperplasia was 64.73±8.7 years. Preoperative international prostate symptoms score (IPSS) was 27.6±3.08. At 3 months, IPSS declined significantly to 8.13±2.86 (pConclusion: The study showed trans-vesical prostatectomy results promising results in lower urinary tract symptoms improvement. Post-op incontinence got better for most, but erectile function didn't return to normal. }, year = {2024} }
TY - JOUR T1 - Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia AU - Niyat Gebremichael AU - Michael Abdissa AU - Wondwossen Amtataw AU - Getabalew Endazenaw Y1 - 2024/04/17 PY - 2024 N1 - https://doi.org/10.11648/j.sjcm.20241302.11 DO - 10.11648/j.sjcm.20241302.11 T2 - Science Journal of Clinical Medicine JF - Science Journal of Clinical Medicine JO - Science Journal of Clinical Medicine SP - 21 EP - 28 PB - Science Publishing Group SN - 2327-2732 UR - https://doi.org/10.11648/j.sjcm.20241302.11 AB - Background: Bladder outlet obstruction, common in older men, shows increased detrusor pressure and reduced urine flow during voiding. Diagnosis typically involves studying flow-rate and detrusor pressure values. Transvesical prostatectomy is a common treatment for significant prostatic enlargement, but real-world outcome data are scarce. Objective: To assess symptomatic improvement, changes in urinary incontinence and complications after transvesical prostatectomy for benign prostatic hyperplasia. Methods: Prospective cross-sectional study design was used and SPSS statistical software version 25 was used for data entry and analysis. Results: The mean age of patients with benign prostatic hyperplasia was 64.73±8.7 years. Preoperative international prostate symptoms score (IPSS) was 27.6±3.08. At 3 months, IPSS declined significantly to 8.13±2.86 (pConclusion: The study showed trans-vesical prostatectomy results promising results in lower urinary tract symptoms improvement. Post-op incontinence got better for most, but erectile function didn't return to normal. VL - 13 IS - 2 ER -