EARLY OUTCOME OF TRANSVESICAL POSTATECTOMY FOR LARGE PROSTATIC ADENOMA

Objective The total number of patients was 173. The mean age of patients was 63.42 years and most of the patients (n 104- 60%) presenting with benign prostatic enlargement were in the age range of 56-60 years. The common presenting complaints were prostatism (57.80%) and acute retention (34.68%). All patients underwent prostatectomy by transvesical approach. The postoperative complications were recorded in 23 (13.29%) patients. Some patients had more than one complication. These were urinary tract infection in 9 (5.20%), clot retention in 5 (2.89%), transient urinary incontinence in 3 (1.73%), urethral stricture in 3 (1.73%) and wound infection in 2 (1.1696) patients. One (0.58%) patient died due to myocardial infarction. Transvesical prostatectomy having a low incidence of complications, requiring no special equipment, is a good procedure for large prostatic adenomas.