Abstract
ObjectivesOpen surgery still has its place in the management of Benign Prostatic Hyperplasia (BPH). We present our preliminary experience with drain-free suprapubic prostatectomy. Patients and MethodsWe assessed prospectively 100 consecutive prostatectomies for BPH, performed by the transvesical suprapubic approach between June 2007 and July 2009. Adenoma enucleation was performed via sagittal incision of the bladder. In the first 50 patients (group 1), aspirative Redon drains were placed in the retroperitoneum. In the following 50 patients(group 2), after testing for water-tightness, no drains were placed. ResultsThe two groups were matched for age and prostate size. Average hospitalization was one day longer in group 1. Overall complication rates were identical in the two groups (10%). Conclusiondrain-free simple transvesical suprapubic prostatectomy is not associated with more complications than the classic procedure with a drain in the pelvis. It may actually allow for a shorter hospital stay.
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