Transcervical Prostatectomy in Perspective

Abstract

In a prospective study, 175 consecutive patients were included in transcervical prostatectomy. The results of the operation were evaluated by the mean weighted score and the postoperative morbidity. Although, urethral catheter was routinely removed on the second postoperative day, there was no evidence of suprapubic urinary fistula, clot retention or incontinence of urine noticed in any patient. Recatheterisation was required only in 2 patients for atony of the bladder muscles. Apart from wound infection in 3.4%, there was no other morbidity encountered with this technique. It is encouraging that about 77% of the patients went home before the fifth postoperative day and only one patient died on the second day. The merits of this technique have been highlighted in perspective with other studies reported in the literature.

Key words:

• prostate gland
• bladder neck
• retention of urine
• prostatectomy