title: Suprapubic prostatectomy for benign prostatic hyperplasia in rural Asia: 200 consecutive cases.
abstract: OBJECTIVE
  To assess the safety and efficacy of a suprapubic prostatectomy technique performed in a rural hospital in Asia.
  
  
  METHODS
  A retrospective study of 200 consecutive suprapubic transvesical prostatectomies with a removable bladder neck partition suture for benign prostatic hyperplasia from 1995 to 1998 in a rural mission hospital in northern Pakistan was performed.
  
  
  RESULTS
  Despite preoperative comorbidities in 28% of patients, the postoperative morbidity (14%) and mortality (1%) was low. The partition suture is credited with a very low transfusion rate (1%) and a lower intensity of nursing care in the postoperative period. Patient satisfaction was high with regard to both relief of symptoms and cost.
  
  
  CONCLUSIONS
  This study demonstrated that suprapubic prostatectomy with a routine bladder neck partition suture for benign prostatic hyperplasia can be carried out with a high degree of safety and efficacy in a rural setting with limited facilities in a developing country.
authors.affiliation: Department of Surgery, Bach Christian Hospital, Abbottabad, Pakistan.
authors.forename: J D
authors.initials: JD
authors.lastname: Condie
authors.forename: L
authors.initials: L
authors.lastname: Cutherell
authors.forename: A
authors.initials: A
authors.lastname: Mian
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D010154:Pakistan; D011183:Postoperative Complications / Q000453:epidemiology; D011468:Prostatectomy / Q000009:adverse effects; D011470:Prostatic Hyperplasia / Q000601:surgery*; D012189:Retrospective Studies; D012424:Rural Population