scholarly journals Development of a Leaking Urachal Fistula in A BPH Patient with Recurrent Acute Urinary Retention: A Case Report

2021 ◽  
Vol 3 (5) ◽  
pp. 34-37
Author(s):  
O. C. Amu ◽  
E. A. Affusim ◽  
U. U. Nnadozie ◽  
B. U. Eze
Keyword(s):  
Anterior Abdominal Wall ◽  
Fistulous Tract ◽  
Civil Servant ◽  
Urethral Catheterization ◽  
Urinary Tract Symptoms ◽  
Simple Prostatectomy ◽  
Operative Recovery ◽  
Urachal Fistula ◽  
Large Prostate ◽  
Lower Urinary

FE is a 65yr old retired civil servant who developed lower urinary tract symptoms associated with recurrent acute urinary retentions relieved each time by urethral catheterization. In one episode he started leaking urine from the umbilicus. A fistulogram outlined an irregular fistulous cavity in the lower anterior abdominal wall. Patient had excision of the fistulous tract and communication with bladder sealed. He had uneventful post operative recovery and is being worked up for open simple prostatectomy for his large prostate.

scholarly journals Robotic simple prostatectomy: A consideration for large prostate adenomas

2014 ◽  
Vol 86 (4) ◽  
pp. 241 ◽  
Author(s):  
Joshua B. Nething ◽  
Daniel J. Ricchiuti ◽  
Rhys Irvine ◽  
David Drevna
Keyword(s):  
Relevant Literature ◽  
Foley Catheter ◽  
Laparoscopic Approach ◽  
Resident Training ◽  
Estimated Blood Loss ◽  
Urinary Tract Symptoms ◽  
Simple Prostatectomy ◽  
Large Prostate ◽  
And Training ◽  
Lower Urinary

Background: The management of benign prostatic hyperplasia (BPH) has changed considerably over the last several decades. First line treatment of BPH and lower urinary tract symptoms (LUTS) with medical therapy has created a population of men with much larger prostate glands, many of whom require surgical intervention. Patients with prostate glands greater than 80 to 100 grams may be better managed surgically with a retropubic prostatectomy. We explore our experience with robotic assisted simple prostatectomy and review the relevant literature. Database: The database reviewed includes our experience with seven patients undergoing robotic simple prostatectomy, and a comprehensive review of the previously published series of this procedure. In addition, the literature pertaining to a pure laparoscopic approach to simple prostatectomy is reviewed. Conclusion: Robotic experience and training has become a standard in resident training programs; while classic transurethral resection is being performed less for large prostate glands. The robotic approach to simple prostatectomy provides an excellent option for surgical treatment of very large prostate glands, providing patients acceptable results in terms of operative time, estimated blood loss, hospital stay and duration of Foley catheter.

scholarly journals Improvement of lower urinary tract symptoms and sexual activity after open simple prostatectomy: Prospective analysis of 50 cases

2014 ◽  
Vol 86 (4) ◽  
pp. 353 ◽  
Author(s):  
Lorenzo Montesi ◽  
Luigi Quaresima ◽  
Marco Tiroli ◽  
Vito Lacetera ◽  
Ubaldo Cantoro ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Sexual Activity ◽  
Lower Urinary Tract Symptoms ◽  
Erectile Function ◽  
Lower Urinary Tract ◽  
Transrectal Ultrasound ◽  
Large Size ◽  
Urinary Tract Symptoms ◽  
Simple Prostatectomy ◽  
Lower Urinary

Objectives: To evaluate the improvement of Lower Urinary Tract Symptoms (LUTS) and Erectile Function (EF) evaluated before and after Open Simple Prostatectomy, focusing on which patients this procedure allows better outcomes in term of sexual activity. Material and methods: 50 men with large size benign prostatic hyperplasia (BHP) greater than 80 gr were prospectively evaluated before and 6 months after Open Simple Prostatectomy (Freyer procedure) between October 2012 to September 2013. Patients had a pre-operative transrectal ultrasound (TRUS) for volume evaluation and filled pre and post operative questionnaires for International Prostate Symptom Score (IPSS) and International Index of Erectile Function (IIEF-5) score. Results: Mean patients age was 71 years (D.S. 3,5), mean prostate volume results 103 ml (D.S. 23,7); regarding LUTS and EF, mean improvement of IPSS score was 15,3 (D.S. 4) and mean increase of IIEF-5 score was 3,4 (D.S.3). This study highlights a correlation between patients’ age and increase of IIEF-5 score; no correlation with prostate size was found. Conclusion: According to the EAU Guidelines 2014, large size BPH (over 80-100 mL) with LUTS refractory to medical management continue to have open prostatectomy as the treatment of choice. In our experience we found not only an reduction of LUTS after the procedure but also an improvement of erectile function; this improvement was related with patient’s age.

scholarly journals Laparoscopic simple prostatectomy vs bipolar plasma enucleation of the prostate in large benign prostatic hyperplasia: a two-center 3-year comparison

2020 ◽  
Author(s):  
Riccardo Lombardo ◽  
Anton Zarraonandia Andraca ◽  
Cristina Plaza Alonso ◽  
Juan Andres González-Dacal ◽  
Higinio Rodríguez Núñez ◽  
...  
Keyword(s):  
Prostate Volume ◽  
Clinical History ◽  
Transfusion Rate ◽  
Benign Prostatic Enlargement ◽  
Urinary Tract Symptoms ◽  
Simple Prostatectomy ◽  
Prostatic Enlargement ◽  
Surgery Outcomes ◽  
Lower Urinary

Abstract Purpose To compare surgery outcomes and safety of button bipolar enucleation of the prostate vs laparoscopic simple prostatectomy in patients with large prostates (> 80 g) in a two-center cohort study. Methods All patients with lower urinary tract symptoms due to benign prostatic enlargement (Prostate volume > 80 cc) undergoing button bipolar enucleation of the prostate (BTUEP) or laparoscopic simple prostatectomy (LSP) in two centers were enrolled. Data on clinical history, physical examination, urinary symptoms, uroflowmetry and prostate volume were collected at 0, 1, 3 6, 12, 24 and 36 months. Early and long-term complications were recorded. Results Overall, 296 patients were enrolled. Out of them, 167/296 (56%) performed a LSP and 129/296 (44%) performed a BTUEP. In terms of efficacy both procedures showed durable results at three years with a reintervention rate of 8% in the LSP group and of 5% in the BTUEP group. In terms of safety, BTUEP and LSP presented similar safety profiles with a 9% of transfusion rate and no major complications. Conclusion LSP and BTUEP are safe and effective in treating large-volume adenomas with durable results at three years when performed in experienced centers.

Men with Hypertension are More Likely to Have Severe Lower Urinary Tract Symptoms and Large Prostate Volume

2013 ◽  
Vol 7 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Eu Chang HWANG ◽  
Sun-Ouck KIM ◽  
Deok-Hyun NAM ◽  
Ho Song YU ◽  
Insang HWANG ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Prostate Volume ◽  
Urinary Tract Symptoms ◽  
Large Prostate ◽  
Lower Urinary
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