A short term evaluation of Transurethral Ablation of the Prostate as a treatment option for Benign Prostatic Hyperplasia at the University Teaching Hospital,Lusaka
Date
2012-06-21
Authors
Chituwo, Omega
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Abstract
A prospective study evaluating the procedure, Transurethral ethanol ablation
of the prostate (TEAP), as a treatment option in the University Teaching
Hospital, Lusaka.Twenty-five patients from the Urology clinic, UTH, were included in the
study. The patients had mild to moderate BPH, determined by symptoms and on examination. Other factors taken into consideration were in the inclusion
and exclusion criteria e.g. No history of urinary retention or other related
complications, pelvic surgery or trauma etc.
The details of each patient were collected and included name, age, file number, date of admission, date of discharge, preoperative prostate size. IPSS, operating time, intraoperative complications, and postoperative assessment. The mean age was 68 years. Preoperatively, the patients had a mean of IPSS of 22 with a range of 18 - 25. The average operating time was ten minutes.
Simple analgesia was used to relieve any discomfort postoperatively. Patients were kept overnight and discharged with a catheter. This was removed after 5 days. Two patients went into acute retention following
catheter removal. They were catheterized for a further 5 days and did not develop any problems thereafter. Postoperatively, mean IPSS reduced from 18 at one month to 11 at six months indicating an improvement in symptoms of patients. Ease of voiding
improved with time as was evidenced by the increase in mean peak flow rate of urine (Q-max) of 11ml/s at one month to a mean of 19ml/s at 6 months. In terms of cost, TEAP was found to be much cheaper than the traditional forms of treatment at UTH, i.e. TURP and open prostatectomy
TEAP was found to be a feasible, safe and cost effective method of treating
mild to moderate BPH at UTH. Guidelines for its use have been set down.
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Keywords
Prostate -- Hypertrophy , Prostate -- Cancer