Korean J Urol.  1979 Jun;20(3):289-294.

A Clinical Observation on Retropubic Combined Prostatectomy

• Kim BG

Abstract

A clinical study was made on 11 cases of Benign Prostatic Hypertrophy and 2 cases of Prostatic Carcinoma that had Retropubic combined Prostatectomy. admitted to the Department of Urology, Jeonbug National University Medical School during the Period from Aug. 1977 to Aug. 1978. The results are summarized as follows ; 1. Incidence of Benign Prostatic Hypertrophy was 5.4 % to 204 total in-patients, and 28.6 % to male in-patients 60 years old or more and incidence of prostatic carcinoma was 0.95 % to 204 total in-patients and 5.3 % to male in-patients 60 years old or more 2. The age distribution ranged from 62 years to 76 years with the most common age groups in the 7th and 8th decades with mean age 70.1 years old. 3. The most common symptoms are urinary retention, dribbling and dysuria. 4. The duration of symptoms ranged from 1 day to 4 months with mean 20.7 days. 5. The coexisting diseases were left hydrocele in 1 case and asthma in 1 case. 6. E. C. G. findings were L. V. H. In 1 case, arrhythmia in 1 case but normal in 11 cases. 7. Serum B. U. N. and creatinine determinations were done in all cases, 4 patients had elevated serum B. U. N. and 1 patient had elevated serum creatinine. 8. Methods of operative treatment included Retropubic combined Prostatectomy in all cases. 9. Visual bleeding control is done in all cases. 10. Operating time required between 70 minutes and 110 minutes with mean operating time 85 minutes. 11. Blood attributable to operating manipulation was between 200ml to 1,000ml with mean blood loss was 375ml. 12. Duration of indwelling catheterization was 8.5 days. 13. The duration of gross hematuria persisted postoperatively was between 2 days and 4 days, 2.5 days in average. 14. Weight of removed prostatic tissue was between 7 gms to 100 gms, mean weight was 28.0 gms. 15. Postoperative Hospitalization was between 7 days and 9days, 7.9 days in average. 16. No severe complications other than temporary Incontinence in 5 cases(38.5 %) and acute Epididymitis in 1 case.

MeSH Terms

Age Distribution
Arrhythmias, Cardiac
Asthma
Catheters, Indwelling
Creatinine
Dysuria
Epididymitis
Hematuria
Hemorrhage
Hospitalization
Humans
Incidence
Jeollabuk-do
Male
Middle Aged
Prostatectomy*
Prostatic Hyperplasia
Schools, Medical
Urinary Retention
Urology
Creatinine