The first experience of performing laparoscopic extraperitoneal retropubic (transcapsular) prostatectomy in patients with benign prostatic hyperplasia
DOI:
https://doi.org/10.11603/2414-4533.2023.1.13543Keywords:
benign prostatic hyperplasia, laparoscopic extraperitoneal retropubic prostatectomy, early and long-term resultsAbstract
The aim of the work: to evaluate the first results of laparoscopic extraperitoneal retropubic prostatectomy in patients with benign prostatic hyperplasia.
Materials and Methods. 30 laparoscopic extraperitoneal retropubic prostatectomies were performed in patients with benign prostatic hyperplasia. Indications for surgery in the patients were: repeated acute retention of urine (7 patients who came with a urethral catheter); pronounced IPSS symptoms (International Prostate Symptoms Questionnaire) due to lack of effect from conservative therapy (20 patients); repeated hematuria 3 patients.
Results and Discussion. The early (inpatient) and long-term (after discharge from the hospital) results of laparoscopic extraperitoneal retropubic (transcapsular) prostatectomy in 30 patients with benign prostatic hyperplasia are presented. The average age of the patients was (68.1±2.5) years, the average body mass index was (29.6±1.5), and the average prostate volume was (109.5±15.3) ml. The average operation time was (122.4±12.8) minutes, the average intraoperative blood loss was (106.9±32.8) ml. Neither intraoperative, nor postoperative bleeding was observed, noк hemotransfusion was performed. The urethral catheter was removed 4–5 days after surgery, the average postoperative bed-day was (6.3±1.0) days. The first results of laparoscopic extraperitoneal retropubic prostatectomy showed its reliable intra- and postoperative hemostasis, short postoperative bed-day, satisfactory recovery of the act of urination in the absence of early and long-term complications.
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