Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Niyat Gebremichael; Michael Abdissa; Wondwossen Amtataw; Getabalew Endazenaw

doi:doi:10.11648/j.sjcm.20241302.11

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| Peer-Reviewed

Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Niyat Gebremichael

, Michael Abdissa

, Wondwossen Amtataw^*

, Getabalew Endazenaw

Published in Science Journal of Clinical Medicine (Volume 13, Issue 2)

Received: 24 March 2024 Accepted: 8 April 2024 Published: 17 April 2024

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Abstract

Background: Bladder outlet obstruction, common in older men, shows increased detrusor pressure and reduced urine flow during voiding. Diagnosis typically involves studying flow-rate and detrusor pressure values. Transvesical prostatectomy is a common treatment for significant prostatic enlargement, but real-world outcome data are scarce. Objective: To assess symptomatic improvement, changes in urinary incontinence and complications after transvesical prostatectomy for benign prostatic hyperplasia. Methods: Prospective cross-sectional study design was used and SPSS statistical software version 25 was used for data entry and analysis. Results: The mean age of patients with benign prostatic hyperplasia was 64.73±8.7 years. Preoperative international prostate symptoms score (IPSS) was 27.6±3.08. At 3 months, IPSS declined significantly to 8.13±2.86 (p<0.001). Preoperative incontinence completely resolved in 30% and partially improved in 70% of patients. New onset incontinence occurred in 13.5%. At 6 months, IPSS was 5.67±2.31. Of those with new postoperative incontinence, 42.9% completely resolved and 57.1% improved. For preoperative incontinence, 71.4% completely resolved and 28.6% partially improved. Erectile function failed to improve. Conclusion: The study showed trans-vesical prostatectomy results promising results in lower urinary tract symptoms improvement. Post-op incontinence got better for most, but erectile function didn't return to normal.

Published in	Science Journal of Clinical Medicine (Volume 13, Issue 2)
DOI	10.11648/j.sjcm.20241302.11
Page(s)	21-28
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Benign Prostatic Hyperplasia, Bladder Outlet Obstruction, Trans-Vesical Prostatectomy

References

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APA Style

Gebremichael, N., Abdissa, M., Amtataw, W., Endazenaw, G. (2024). Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia . Science Journal of Clinical Medicine, 13(2), 21-28. https://doi.org/10.11648/j.sjcm.20241302.11

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ACS Style

Gebremichael, N.; Abdissa, M.; Amtataw, W.; Endazenaw, G. Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia . Sci. J. Clin. Med. 2024, 13(2), 21-28. doi: 10.11648/j.sjcm.20241302.11

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AMA Style

Gebremichael N, Abdissa M, Amtataw W, Endazenaw G. Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia . Sci J Clin Med. 2024;13(2):21-28. doi: 10.11648/j.sjcm.20241302.11

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@article{10.11648/j.sjcm.20241302.11,
  author = {Niyat Gebremichael and Michael Abdissa and Wondwossen Amtataw and Getabalew Endazenaw},
  title = {Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
},
  journal = {Science Journal of Clinical Medicine},
  volume = {13},
  number = {2},
  pages = {21-28},
  doi = {10.11648/j.sjcm.20241302.11},
  url = {https://doi.org/10.11648/j.sjcm.20241302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20241302.11},
  abstract = {Background: Bladder outlet obstruction, common in older men, shows increased detrusor pressure and reduced urine flow during voiding. Diagnosis typically involves studying flow-rate and detrusor pressure values. Transvesical prostatectomy is a common treatment for significant prostatic enlargement, but real-world outcome data are scarce. Objective: To assess symptomatic improvement, changes in urinary incontinence and complications after transvesical prostatectomy for benign prostatic hyperplasia. Methods: Prospective cross-sectional study design was used and SPSS statistical software version 25 was used for data entry and analysis. Results: The mean age of patients with benign prostatic hyperplasia was 64.73±8.7 years. Preoperative international prostate symptoms score (IPSS) was 27.6±3.08. At 3 months, IPSS declined significantly to 8.13±2.86 (pConclusion: The study showed trans-vesical prostatectomy results promising results in lower urinary tract symptoms improvement. Post-op incontinence got better for most, but erectile function didn't return to normal. 
},
 year = {2024}
}

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TY  - JOUR
T1  - Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

AU  - Niyat Gebremichael
AU  - Michael Abdissa
AU  - Wondwossen Amtataw
AU  - Getabalew Endazenaw
Y1  - 2024/04/17
PY  - 2024
N1  - https://doi.org/10.11648/j.sjcm.20241302.11
DO  - 10.11648/j.sjcm.20241302.11
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 21
EP  - 28
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20241302.11
AB  - Background: Bladder outlet obstruction, common in older men, shows increased detrusor pressure and reduced urine flow during voiding. Diagnosis typically involves studying flow-rate and detrusor pressure values. Transvesical prostatectomy is a common treatment for significant prostatic enlargement, but real-world outcome data are scarce. Objective: To assess symptomatic improvement, changes in urinary incontinence and complications after transvesical prostatectomy for benign prostatic hyperplasia. Methods: Prospective cross-sectional study design was used and SPSS statistical software version 25 was used for data entry and analysis. Results: The mean age of patients with benign prostatic hyperplasia was 64.73±8.7 years. Preoperative international prostate symptoms score (IPSS) was 27.6±3.08. At 3 months, IPSS declined significantly to 8.13±2.86 (pConclusion: The study showed trans-vesical prostatectomy results promising results in lower urinary tract symptoms improvement. Post-op incontinence got better for most, but erectile function didn't return to normal. 

VL  - 13
IS  - 2
ER  -

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Author Information

Niyat Gebremichael

Department of Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

http://orcid.org/0009-0005-2287-9583
Michael Abdissa

Department of Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

http://orcid.org/0000-0003-1420-3127
Wondwossen Amtataw

Department of Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Contact Email

http://orcid.org/0000-0001-5060-7984
Getabalew Endazenaw

Department of Public Health, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

http://orcid.org/0000-0003-4465-7808

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APA Style

Gebremichael, N., Abdissa, M., Amtataw, W., Endazenaw, G. (2024). Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia . Science Journal of Clinical Medicine, 13(2), 21-28. https://doi.org/10.11648/j.sjcm.20241302.11

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ACS Style

Gebremichael, N.; Abdissa, M.; Amtataw, W.; Endazenaw, G. Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia . Sci. J. Clin. Med. 2024, 13(2), 21-28. doi: 10.11648/j.sjcm.20241302.11

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AMA Style

Gebremichael N, Abdissa M, Amtataw W, Endazenaw G. Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia . Sci J Clin Med. 2024;13(2):21-28. doi: 10.11648/j.sjcm.20241302.11

Copy | Download

@article{10.11648/j.sjcm.20241302.11,
  author = {Niyat Gebremichael and Michael Abdissa and Wondwossen Amtataw and Getabalew Endazenaw},
  title = {Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
},
  journal = {Science Journal of Clinical Medicine},
  volume = {13},
  number = {2},
  pages = {21-28},
  doi = {10.11648/j.sjcm.20241302.11},
  url = {https://doi.org/10.11648/j.sjcm.20241302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20241302.11},
  abstract = {Background: Bladder outlet obstruction, common in older men, shows increased detrusor pressure and reduced urine flow during voiding. Diagnosis typically involves studying flow-rate and detrusor pressure values. Transvesical prostatectomy is a common treatment for significant prostatic enlargement, but real-world outcome data are scarce. Objective: To assess symptomatic improvement, changes in urinary incontinence and complications after transvesical prostatectomy for benign prostatic hyperplasia. Methods: Prospective cross-sectional study design was used and SPSS statistical software version 25 was used for data entry and analysis. Results: The mean age of patients with benign prostatic hyperplasia was 64.73±8.7 years. Preoperative international prostate symptoms score (IPSS) was 27.6±3.08. At 3 months, IPSS declined significantly to 8.13±2.86 (pConclusion: The study showed trans-vesical prostatectomy results promising results in lower urinary tract symptoms improvement. Post-op incontinence got better for most, but erectile function didn't return to normal. 
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - Surgical Management Outcome of Benign Prostatic Hyperplasia in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

AU  - Niyat Gebremichael
AU  - Michael Abdissa
AU  - Wondwossen Amtataw
AU  - Getabalew Endazenaw
Y1  - 2024/04/17
PY  - 2024
N1  - https://doi.org/10.11648/j.sjcm.20241302.11
DO  - 10.11648/j.sjcm.20241302.11
T2  - Science Journal of Clinical Medicine
JF  - Science Journal of Clinical Medicine
JO  - Science Journal of Clinical Medicine
SP  - 21
EP  - 28
PB  - Science Publishing Group
SN  - 2327-2732
UR  - https://doi.org/10.11648/j.sjcm.20241302.11
AB  - Background: Bladder outlet obstruction, common in older men, shows increased detrusor pressure and reduced urine flow during voiding. Diagnosis typically involves studying flow-rate and detrusor pressure values. Transvesical prostatectomy is a common treatment for significant prostatic enlargement, but real-world outcome data are scarce. Objective: To assess symptomatic improvement, changes in urinary incontinence and complications after transvesical prostatectomy for benign prostatic hyperplasia. Methods: Prospective cross-sectional study design was used and SPSS statistical software version 25 was used for data entry and analysis. Results: The mean age of patients with benign prostatic hyperplasia was 64.73±8.7 years. Preoperative international prostate symptoms score (IPSS) was 27.6±3.08. At 3 months, IPSS declined significantly to 8.13±2.86 (pConclusion: The study showed trans-vesical prostatectomy results promising results in lower urinary tract symptoms improvement. Post-op incontinence got better for most, but erectile function didn't return to normal. 

VL  - 13
IS  - 2
ER  -

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