Transvesical Prostatectomy after Transurethral Resection- Need for Retention of Skills for Open Prostatectomy: A Case Report

Balantine U Eze,Anthony C Nevo,Chijioke C Anekpo,Sunday G Mba

doi:10.24018/ejmed.2021.3.4.940

Abstract

Benign prostatic hyperplasia is a common cause of bladder outlet obstruction BPH. Transurethral resection of prostate (TURP) remains the gold standard of surgical therapy but have limitations in handling large prostates. We report a case of a patient with a large prostate that had TURP, later developed acute urinary retention and subsequently had transvesical prostatectomy with a good outcome. There is need for retention of skills for open prostatectomy despite the crave for acquisition of endoscopic/ minimally invasive skills.

Highlights

Benign prostatic hyperplasia (BPH) is a common cause of bladder outlet obstruction (BOO) in ageing males [1]
The major constraint in the use of transurethral resection of prostate (TURP) as a surgical option of treatment lies in the fact that it cannot safely be used for treatment of prostate glands > 100g [7], [8]
We presented a case of a patient who developed acute urinary retention (AUR) following TURP and emphasized the need to acquire and retain skills for open prostatectomy

Summary

INTRODUCTION

Benign prostatic hyperplasia (BPH) is a common cause of bladder outlet obstruction (BOO) in ageing males [1]. Surgical therapy for BPH may be either by open or endoscopic/minimal access routes [4], [5]. In recent times many minimal access procedures for surgical treatment of BPH abound but transurethral resection of prostate (TURP) remains the gold standard of surgical therapy [6]. The major constraint in the use of TURP as a surgical option of treatment lies in the fact that it cannot safely be used for treatment of prostate glands > 100g [7], [8]. Large prostates and resection time > 90 minutes increases the risk for TURP syndrome [7], [9]. We presented a case of a patient who developed acute urinary retention (AUR) following TURP and emphasized the need to acquire and retain skills for open prostatectomy

CASE REPORT

DISCUSSION

CONCLUSION