Retropubic Laparoscopic Prostatectomy : Initial Experience

Background: Benign prostatic hyperplasia (BPH) is one of the most common diseases in middle-aged and old males. Medical intervention is not effective in all cases and surgical prostatectomy is the curative treatment. Aim of the work: to presented our experience with retropubic laparoscopic simple prostatectomy. Patients and methods: This study was conducted on 33 patients with BPH who underwent laparoscopic retropubic simple prostatectomy between January 2012 and June 2014; they were selected from Urology Departments, Theodor bilharz Research Institute (urology department). Before the surgery, full history taking, physical examination, digital rectal examination (DRE), routine lab tests, IPSS, transrectal ultrasonography (TRUS), prostate-specific antigen (PSA) measurement, and uroflowmetric studies were performed. IPSS and uroflowmetry were performed again 2 months after the surgery for comparison with the preoperative data. To rule out cancer in patients whose PSA values were 4 and over or who had any other risk factor (nodule on the DRE or hypoechoic lesion on TRUS), prostate biopsy was performed before surgery. Results: Age ranged from 54 to 73 years with a mean of 60.82±4.02 years; the mean prostate volume was 92.66±11.48; while the mean enucleate volume was 73.57±7.44 g; mean operative time was 176.21±16.68 minutes; mean blood loss was of 350.30±73.50 cc; mean postoperative hospital stay was 6.42±1.06 days; drain removed in day 3 to 6 with mean of 4.36±0.78 and Foley urethral catheter duration was ranged from 4 to 8 days with a mean of 5.36±1.08 days. IPPS was significantly decreased from 26.77±2.06 preoperatively to 4.84±0.79 postoperatively (p < 0.001). Five cases were presented by acute urinary retention. Thus, Qmax was reported only for 28 cases preoperatively, the mean value was 5.63±1.34 that increased significantly at postoperative value to 16.94±2.27. Finally, post voiding residual urine was decreased significantly from 94.17±8.99 at preoperative evaluation to 16.06±5.53 at 2 months postoperative evaluation. Conclusion: laparoscopic retropubic simple prostatectomy may be a useful treatment option for patients with large volume BPH, especially with experienced hands. [Essam Raid, Samir Ghobashy, Ahmed Elbaz, Mamdouh Roshdy, Hossam El Ganzoury and Ahmed Kamal Retropubic Laparoscopic Prostatectomy: Initial Experience. Life Sci J 2015;12(6):1-5]. (ISSN:1097-8135). http://www.lifesciencesite.com. 1