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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