Complicaciones de la prostatectomía transvesical versus la prostatectomía retropúbica en pacientes con hiperplasia prostática benigna en el Hospital General Guasmo Sur durante el año 2018.

Abstract

Introduction: Currently, BPH is the most common benign tumor in men, whose incidence is strongly related to age. The surgical management of BPH is an option used in patients with moderate-severe symptoms, who have developed complications such as recurrent urinary retention, recurrent urinary tract infections, recurrent hematuria, failure of medical treatment, large bladder diverticula and secondary stones. To obstruction of the outflow tract. Objective: To establish the complications of transvesical and retropubic prostatectomy in the treatment of Benign Prostatic Hyperplasia. Materials and Methods: A total of 35 male patients with BPH were studied at the Guasmo Sur General Hospital in 2018, of which 12 underwent transvesical prostatectomy and 23 underwent retropubic prostatectomy. In this study, data collection was carried out from clinical histories, and respective statistical analyzes were used with the spss version 22 system, and we analyzed measures of central tendency and we verified statistical validity with chi2. Results: Of the 35 participants, 23 (65.7%) underwent retropubic prostatectomy and 12 (34.3%) underwent transvesical prostatectomy. The age, the mean was 70.63 years and the standard deviation was 7.08. 45.7% of patients (16 patients) did not present comorbidities; whereas, the most frequent comorbidity was arterial hypertension. The mean prostate weight of the patients was 76.54 grams and the standard deviation is 34.306. We found that 6 of the patients (17.1%) had recurrences. Conclusion: We conclude that the transvesical approach has fewer complications than retropubic prostatectomy.