Hospital Based Retrospective Study to Investigate the Safety and Effectiveness of Open Simple Prostatectomy (OSP) in Octogenarians
Creators
- 1. Assistant Professor, Department of Urology, PMCH, Patna, Bihar, India
- 2. Senior Resident, Department of Urology, PMCH, Patna, Bihar, India
Description
Aim: The aim of the present study was to investigate the safety and effectiveness of open simple prostatectomy
(OSP) in octogenarians.
Methods: The present study was conducted in the Department of Urology. Our retrospective review revealed that
200 patients underwent OSP during the study period. Patients were grouped based on their age: Group 1 included
patients older than 50 and younger than 65, Group 2 consisted of patients between the ages of 65 and 80, while
Group 3 included those aged ≥80 (i.e., octogenarians).
Results: In the present study, 32% were in ASA I and 20% had hypertension. Among these patients, 50 were in
Group 1 (i.e., aged between 50 and 65), 100 in Group 2 (i.e., aged between 65 and 80), and 50 in Group 3 (i.e.,
age≥80). The rate of hypertension was significantly higher in Group 2 and Group 3 (i.e., octogenarians) than
compared to Group 1. Although there was no difference between the groups regarding preoperative serum PSA
levels, the rate of prostate biopsy rate was significantly higher in Group 1 and Group 2 than in compared to
octogenarians. On the other hand, preoperative persistent AUR frequencies were significantly higher in
octogenarians compared to others. Mean preoperative Qmax values were 5.57 ± 1.51, 6.84 ± 3.93 and 5.95 ± 2.04
ml/s in Group 1, Group 2 and Group 3, respectively. The mean PVR values were calculated as 136 ± 34, 137 ±
34, and 156 ± 29 in Group 1, Group 2, and Group 3, while the mean IPSS scores were 21.8 ± 4.37 in Group 1,
21.0 ± 6.41 in Group 2, and 22.5 ± 4.43 in Group 3. The complication of Hemorrhage requiring blood transfusion
was managed by blood transfusion. Urethral stenosis was managed by Internal urethrotomy, Urethroplasty.
Conclusion: The present study concluded that OSP is a safe procedure, and its effectiveness is limited compared
to the other groups in terms of urethral catheter duration, length of hospital stay and IPSS scores. Before OSP
However, perioperative management should be individualized for each patient.
Abstract (English)
Aim: The aim of the present study was to investigate the safety and effectiveness of open simple prostatectomy
(OSP) in octogenarians.
Methods: The present study was conducted in the Department of Urology. Our retrospective review revealed that
200 patients underwent OSP during the study period. Patients were grouped based on their age: Group 1 included
patients older than 50 and younger than 65, Group 2 consisted of patients between the ages of 65 and 80, while
Group 3 included those aged ≥80 (i.e., octogenarians).
Results: In the present study, 32% were in ASA I and 20% had hypertension. Among these patients, 50 were in
Group 1 (i.e., aged between 50 and 65), 100 in Group 2 (i.e., aged between 65 and 80), and 50 in Group 3 (i.e.,
age≥80). The rate of hypertension was significantly higher in Group 2 and Group 3 (i.e., octogenarians) than
compared to Group 1. Although there was no difference between the groups regarding preoperative serum PSA
levels, the rate of prostate biopsy rate was significantly higher in Group 1 and Group 2 than in compared to
octogenarians. On the other hand, preoperative persistent AUR frequencies were significantly higher in
octogenarians compared to others. Mean preoperative Qmax values were 5.57 ± 1.51, 6.84 ± 3.93 and 5.95 ± 2.04
ml/s in Group 1, Group 2 and Group 3, respectively. The mean PVR values were calculated as 136 ± 34, 137 ±
34, and 156 ± 29 in Group 1, Group 2, and Group 3, while the mean IPSS scores were 21.8 ± 4.37 in Group 1,
21.0 ± 6.41 in Group 2, and 22.5 ± 4.43 in Group 3. The complication of Hemorrhage requiring blood transfusion
was managed by blood transfusion. Urethral stenosis was managed by Internal urethrotomy, Urethroplasty.
Conclusion: The present study concluded that OSP is a safe procedure, and its effectiveness is limited compared
to the other groups in terms of urethral catheter duration, length of hospital stay and IPSS scores. Before OSP
However, perioperative management should be individualized for each patient.
Files
IJCPR,Vol15,Issue12,Article115.pdf
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Additional details
Dates
- Accepted
-
2023-10-22