Le drainage pelvien après adénometomie prostatique transvésicale reste-il indispensable?

Conclusion L’absence de drainage sous péritonéal après adénomectomie de la prostate ne s’accompagne pas de plus de complications que dans la technique classique avec drainage. Un gain en jours d’hospitalisation peut au contraire s’en suivre. Objectives Open surgery still has its place in the management of Benign Prostatic Hyperplasia (BPH). We present our preliminary experience with drain-free suprapubic prostatectomy. Patients and Methods We assessed prospectively 100 consecutive prostatectomies for BPH, performed by the transvesical suprapubic approach between June 2007 and July 2009. Adenoma enucleation was performed via sagittal incision of the bladder. In the first 50 patients (group 1), aspirative Redon drains were placed in the retroperitoneum. In the following 50 patients(group 2), after testing for water-tightness, no drains were placed. Results The two groups were matched for age and prostate size. Average hospitalization was one day longer in group 1. Overall complication rates were identical in the two groups (10%). Conclusion drain-free simple transvesical suprapubic prostatectomy is not associated with more complications than the classic procedure with a drain in the pelvis. It may actually allow for a shorter hospital stay.
Source: African Journal of Urology - Category: Global & Universal Source Type: research