Introduction:

Benign prostate hyperplasia has a high prevalence in people over 50 years of age. In those who fail or is poorly tolerated medical treatment, surgery is considered.

Objective:

To analyze postoperative complications in patients operated on for benign prostatic hyperplasia, according to different techniques.

Methods:

161 medical records of patients 60 years of age or older, with a diagnosis of benign prostatic hyperplasia, who underwent surgery with the techniques: open transvesical, retropubic and monopolar endoscopic adenomectomy were analyzed.

Results:

The variation of hemoglobin ≥ 3mg / dl, with the transvesical technique was 17% and with the retropubic one 27.3%. The time of bladder catheterization ≤ 4 days in the transvesical one 48.9%; > 4 to <7 days in the retropubic in 59.1% and ≤ 4 days in the monopolar endoscopic 68.5%. The hospital stay ≥ 5 days, in the transvesical 51.1% and in the retropubic 59.9%; from 1 to <3 days, with the monopolar endoscopic, 58.7%. Urinary tract infection was more frequent with transvesical (31.9%), surgical site infection (17%); while epididymo-orchitis was more frequent in retropubic (40.9%). Monopolar prostatic transurethral post-resection syndrome appeared in 17.4% of those operated on.

Conclusion:

Retropubic adenomectomy was the surgical technique with the highest frequency of complications and transurethral resection the least frequent. Acute retention of urine by retropubic technique was the most frequent complication.

        · resumen en Español     · texto en Español     · Español ( pdf )