Safety and effectivity of open simple prostatectomy in octogenarians: A single center experience

Authors : Nadir KALFAZADE, Fatih AKKAŞ, Emre ŞAM, Kamil Gökhan ŞEKER, Ekrem GÜNER, Selçuk ŞAHİN, Volkan TUĞCU

Pages : 124-134

Doi:10.33719/yud.2023;18-2-1185919

View : 48 | Download : 23

Publication Date : 2023-06-27

Article Type : Research Paper

Abstract :Objective: This study aimed to investigate the safety and effectiveness of open simple prostatectomy insert ignore into journalissuearticles values(OSP); in patients older than 80 insert ignore into journalissuearticles values(i.e., octogenarians);. Materials and Methods: Patients who underwent OSP in our center between January 2012 and January 2018 constituted this study\`s target population. The patients were evaluated by dividing the entire cohort into three age groups: 50-64, 65-79, and ≥80. The study groups were compared regarding demographic features, preoperative clinical data, operative parameters, postoperative first-month and third-month uroflowmetric data, and short-term complication rates. Results: Preoperative persistent acute urinary retention and urethral catheterization rates were significantly higher in octogenarians than in the other patients. The groups were similar concerning intraoperative estimated blood loss, blood transfusion, Clavien-Dindo Class≥3 complication rates and the general complication rate statistically. The comparative analysis revealed that the duration of catheterization was significantly longer in Group 2 and 3 than Group 1 insert ignore into journalissuearticles values(p=<0.001);. The length of hospital stay was also significantly higher in octogenarians than the patients in Group 1 insert ignore into journalissuearticles values(p=0.003);. Conclusion: Although OSP is an effective and safe surgical treatment method in octogenarians, each patient should be managed by an individualized approach for lowering the procedure-related morbidity and mortality rates.
Keywords : Benign prostat hiperplazisi, Açık basit prostatektomi, Seksenlikler

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