Laparoscopic prostatectomy for benign prostatic hyperplasia--a six-year experience.
OBJECTIVE
The Authors present their results using laparoscopic prostatectomy in the treatment of large benign prostatic hyperplasia (BPH).


METHODS
Between March 1999 and March 2005, 60 patients were submitted to laparoscopic prostatectomy with vascular control for large BPH. The demographic, operative period and outcome data were recorded.


RESULTS
The average prostate weight was 144.50+/-41.74 gm. Mean operative time was 138.48+/-23.38 minutes and estimated blood loss of 330.98+/-149.52 ml. No patient required transfusions or conversion to open surgery. Post operative complications included one case of septicemia and three cases of prolonged ileum. The most frequent long-term complication was retrograde ejaculation, presented in all patients after 6 months of follow-up. The erectile function was preserved in all those patients who were potent before surgery. No urinary incontinence was reported by patients.


CONCLUSIONS
The results demonstrate that resection of large prostatic adenomas can be performed with a laparoscopic approach. The patients had a shorter hospital stay and early return to normal activity.
Mariano
Mirandolino Batista
MB
Hospital Moinhos de Vento, Rua Costa 30/sala 803, Porto Alegre 90110-270 RS, Brazil. mirandolino@terra.com.br
Tefilli
Marcos Vinicius
MV
Graziottin
Tulio Meyer
TM
Morales
Claudio Miguel Pinto
CM
Goldraich
Isidoro Henrique
IH
D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000601:surgery*; D013997:Time Factors