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ISSN 2305-7939 (Electronic)

2021, Number 3

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RCU 2021; 10 (3)

Complications of simple open prostatectomy in geriatric patients

Cutiño RA, Quintana RM, Ares VY, Olivé GJE

Language: Spanish
References: 25
Page:
PDF size: 585.38 Kb.


ABSTRACT

Introduction: Adenoma exeresis is the surgical treatment recommended for patients with prostatic hyperplasia.
Objective: Evaluate the complications of simple open prostatectomy in geriatric patients.
Methods: An observational retrospective longitudinal descriptive study was conducted of 106 geriatric patients undergoing open surgery for benign prostatic hyperplasia at Comandante Manuel Fajardo Clinical Surgical University Hospital in the period 2012-2017. The sample was divided into two groups: retropubic and transvesical surgery. Summary measurements, mean and standard deviation were estimated for quantitative variables and percentages for qualitative variables. The X2 test was used to establish associations, and the non-parametric mean comparison test was applied to independent samples. Multivariate analysis was performed to estimate the risk factors for complications. A p value ˂ 0.05 was considered.
Results: Mean age was 74 years. Of the patients studied, 68.9% had comorbidities, with a predominance of ASA II (58.4%), patients with severe and moderate obstructive symptoms (86.9%), and quality-of-life-related effects (71.7%). 30.1% presented complications, mostly postoperative and grade I, with no differences between retropubic and transvesical surgery. Complications were not associated to age. Identification was made of risk factors for the occurrence of complications.
Conclusions: Postoperative complications prevailed. Renal damage, pharmacological treatment failure, preoperative urinary infection, hospital stay and surgical time were identified as the risk factors causing the complications.


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